Indications for External Fixation in Pelvic Frx


- Indications:
    - definitive stabilization of frx may be achieved w/ external fixation in certain rotationally unstable but vertically stable injuries;
    - open book frx:
           - external fixation is most applicable to stable "open book" pelvic fractures in which there is intact posterior tension band (APC II & APC III)
    - lateral compression injuries:
           - ex fix is also used for internally rotated injuries (LC injuries);
    - vascular injuries:
           - external fixators to contrl hemorrhage
    - suprapubic catheter:
           - external fixator is also preferred to avoid bacterial contamination of pelvic internal fixation when suprapubic catheter is left in place.
    - open frx:
           - in open pelvic fracture or abdominal injury w/ peritoneal contamination, the use of an external fixator allows control of this fracture pattern and decreases the potential infection rate.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 6, 2012 2:15 pm