Functional reliability of means of fixation for complex pelvic fractures. Part 1: Materials and methods
DOI:
https://doi.org/10.20535/2521-1943.2024.8.1(100).297622Keywords:
biomechanics, osteosynthesis, displacement of fragments, fracture fixation, fracture fixation rigidity, fracture fixation stability, pelvic fracture, screws, plate, external fixation apparatus, pelvic bones, injuries by high-velocity wounding projectiles (fragments, bullets)Abstract
Due to the military aggression of the Russian Federation against Ukraine, a large number of soldiers and civilians were wounded and injured. Along with fractures of the long bones of the limbs, skull injuries, limb amputations, the number of injuries in the pelvic area with fractures of the pelvic bones as a result of being hit by high-velocity projectiles (shrapnel, bullets) has increased.
This work is devoted to the preparation and research of the characteristics of stiffness and reliability of fixation of complex fractures of the pelvic bones in the area of the sacroiliac joint and the upper and lower branches of the pubic bone, which may occur as a result of injury by high-velocity projectiles that injure.
The sacroiliac area was fixed with two cancellous screws with a parallel arrangement at the intersection of the horizontal and vertical planes (a typical technique for stabilizing the posterior parts of the pelvis). The anterior parts of the pelvic bones were stabilized with rod devices of external fixation with a typical location of the rods in the upper anterior iliac spine. The upper branch of the pubic bone was synthesized with a bony reconstructive plate with a typical location.
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