Single lateral-rectus approach for the treatment of anteroposterior pelvic ring fracture
SUN Zhi-bo
YANG Shu-hua
YU Zhi-hong
SUN Chen
LI Xiang-wei
CHEN Rong
Abstract：Objective To investigate the clinical effectiveness of single lateral-rectus approach for the treatment of anteroposterior pelvic ring fracture.Methods The therapeutic effects of 11 patients with anteroposteri-or pelvic ring fracture treated through the single lateral-rectus approach from Jun.2015 to Mar.2016 were summa-rized and analyzed.According to the Tile classification,5 cases were B2,2 were B3,2 were C1 and 2 were C2. There were 3 patients associated with thoracolumbar fractures,and 2 patients associated with calcaneal fractures. Surgical treatment through the single lateral-rectus approach and internal fixation with reconstruction plate were ap -plied.Postoperatively,the wound healing,function and complications were observed,and X-ray and CT scans were used for evaluation of the fracture reduction.Matta imaging was used for evaluation of reduction results and function-al recovery was evaluated according to the Majeed score.Results All 11 patients obtained good reduction and bon-y union after 10-20 months follow-up postoperatively.The Matta imaging showed excellent in 7 cases,good in 3 and fair in 1.The Majeed score in all patients showed a gradual increase postoperatively.At the last follow-up,Majeed scoring showed excellent in 6 cases,good in 4 and fair in 1.Conclusion The single lateral-rectus approach is characterized by convenience and directness in making incisions.It is minimally invasive with easy reduction and few complications and hence is an ideal choice in surgical treatment of anteroposterior pelvic ring fracture.
Keywords：pelvic fractureincisioninternal fixation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 126-128 )