Case Index Number: 002 Posted by: Injury Fixation Adam Starr, M.D.

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Presentation transcript:

Case Index Number: 002 Posted by: Injury Fixation Adam Starr, M.D. Parkland Hospital Dallas, TX Sacral fracture; Rami fractures IS screw; In-fix

Patient 35 yo male MPC Hypotensive on arrival. Binder placed. Angiogram negative Exploratory laparotomy - colostomy

SICU Course Hemodynamically stable Placed in skeletal traction on R Classified as LC 3 pattern L SI joint widened anteriorly R sacrum fractured, displaced cephalad and posteriorly.

Fracture Repair Taken to OR post-injury day 5. L hemipelvis rolled internally using pin in L AIIS. L hemipelvis anchored to frame. R hemipelvis displaced cephalad and posteriorly.

Frame R hemipelvis reduced using traction on R leg.

Posterior Ring Repair R hemipelvis stabilized with S 1 and S 2 iliosacral screws.

Anterior Ring Bilateral superior pubic ramus fractures. Stabilized with internal external fixator.