Minimally invasive internal fixation in treatment of open pelvic fractures guided by damage control theory:report of 4 cases
WANG Pingping
TAN Qingqiang
WU Guolan
ZHAO Weilong
WANG Hongzhang
GAO Zhidong
BEI Xingxiao
WANG Weihu
Abstract：Objective To investigate the effect of minimally invasive internal fixation in treatment of open pelvic fracture guided by damage control theory. Methods Clinical data of 4 patients suffered from open pelvic fractures admitted to Baiyin Central Hospital from March 2020 to March 2023 were retrospectively analyzed. Based on the concept of damage control,external pelvic fixator fixation combined with tamponade hemostasis and interventional vascular embolization were used to treat traumatic hemorrhagic shock in the early stage. Cystostomy and colostomy were given to patients with urinary tract and intestinal tract injuries. After the condition was stabilized,traction and reduction of pelvic fracture with Starr frame and minimally invasive screw fixation was completed. After operation,further management of urinary tract injury and intestinal tract injury was performed according to the combined injuries. Results The average follow-up time was 8 months (6-12 months). At the last follow-up,anatomical reduction was observed in 3 cases and satisfactory reduction in 1 case according to the Matta score. Majeed pelvic function score improved from 54 points before surgery to 87 points at the latest follow-up,and all fractures had good healing. Conclusion Early damage control is an effective means to treat pelvic fracture complicated with traumatic hemorrhagic shock. Starr frame traction and reduction combined with minimally invasive internal fixation could achieve anatomic reduction and internal fixation stability,avoid secondary injuries of open reduction,provide advantages for the treatment of complications,and promote early fracture healing and pelvic functional recovery.
Keywords：PelvisFracturesopenShockhemorrhagicDamage controlExternal fixatorsFracture fixationinternalMinimally invasive surgical procedures
Publication Date：2024-08-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 268-274 )