Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis

doi:10.3877/cma.j.issn.2096-0263.2022.06.010

Abstract

Abstract:

Crescent fracture dislocation of pelvis (CFDP) is a special type of pelvic fracture. It is an unstable traumatic posterior pelvic ring injury caused by lateral compression. In recent years, the internal fixation of CFDP has changed from the initial plate internal fixation to closed reduction and percutaneous screw internal fixation. Minimally invasive surgery has become the trend and direction of CFDP surgical treatment. In recent years, the minimally invasive treatment of CFDP has developed rapidly,but closed reduction, accurate screw placement and surgical indications of minimally invasive treatment are still common problems encountered by orthopedic physician. This paper reviews the causes, mechanism, classification, diagnosis and minimally invasive treatment of CFDP.

Key words: Pelvis, Fractures, Minimally invasive treatment, Injury mechanism

Xuan Pei, Guodong Wang, Ximing Liu. Research progress in minimally invasive treatment of crescent fracture dislocation of pelvis[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2022, 08(06): 380-384.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlngkykfdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-0263.2022.06.010

https://zhlngkykfdzzz.cma-cmc.com.cn/EN/Y2022/V08/I06/380

Figures/Tables 1

References 34

1	Day AC, Kinmont C, Bircher MD, et al. Crescent fracture-dislocation of the sacroiliac joint: a functional classification [J]. J Bone Joint Surg Br, 2007, 89(5): 651-658.
2	Young JW, Burgess AR, Brumback RJ, et al. Pelvic fractures: value of plain radiography in early assessment and management [J]. Radiology, 1986, 160(2): 445-451.
3	Starr AJ, Walter JC, Harris RW, et al. Percutaneous screw fixation of fractures of the iliac wing and fracture-dislocations of the sacro-iliac joint (OTA Types 61-B2.2 and 61-B2.3, or Young-Burgess "lateral compression type II" pelvic fractures) [J]. J Orthop Trauma, 2002, 16(2): 116-123.
4	Sheta R. Crescent fracture-dislocation of the sacroiliac joint use of iliosacral screws [J]. The Medical journal of Cairo University, 2018, 85: 5.
5	Calafi LA, Routt MJ. Posterior iliac crescent fracture-dislocation: what morphological variations are amenable to iliosacral screw fixation? [J]. Injury, 2013, 44(2): 194-198.
6	O'neill F, Leonard M, Morris S. A bilateral crescent and anterior ring pelvic fracture sustained by inadvertently performing the 'splits' [J]. J Surg Case Rep, 2012 (9): 11.
7	Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols [J]. J Trauma, 1990, 30(7): 848-856.
8	Gehlert RJ, Xing Z, Decoster TA. Pelvic crescent fractures: variations in injury mechanism and radiographic pattern [J]. J Surg Orthop Adv, 2014, 23(2): 75-82.
9	Park SE, Lee SW, Kim WY, et al. Atypical pelvic crescent fracture caused by vertical shear force [J]. Hip Pelvis, 2014, 26(3): 194-197.
10	蓝云,张建政,孙天胜.骨盆新月形骨折脱位的研究进展[J].中华创伤杂志, 2020, 36(4): 372-376.
11	Menon KV, Suresh SS, Kalyanasundaram S, et al. Crescent fractures of the pelvis treated by open reduction and internal fixation: a critique of Day's guidelines [J]. Eur J Orthop Surg Traumatol, 2017, 27(8): 1089-1095.
12	Shui XL, Ying XZ, Mao CW, et al. Percutaneous screw fixation of crescent Fracture-Dislocation of the sacroiliac joint [J]. Orthopedics, 2015, 38(11): E976-E982.
13	Borrelli JJ, Koval KJ, Helfet DL. The crescent fracture: a posterior fracture dislocation of the sacroiliac joint [J]. J Orthop Trauma, 1996, 10(3): 165-170.
14	Zong Z, Chen S, Jia M, et al. Posterior iliac crescent fracture-dislocation: is it only rotationally unstable? [J]. Orthopedics, 2014, 37(5): e435-e440.
15	Cullinane DC, Schiller HJ, Zielinski MD, et al. Eastern association for the surgery of trauma practice management guidelines for hemorrhage in pelvic fracture--update and systematic review [J]. J Trauma, 2011, 71(6): 1850-1868.
16	周东生.基层医院骨盆骨折的急救策略[J].中华创伤骨科杂志, 2019, 21(6): 549-552.
17	Simonian PT. Chip routt M L. Biomechanics of pelvic fixation [J]. Orthop Clin North Am, 1997, 28(3): 351-367.
18	Thaunat M, Laude F, Paillard P, et al. Transcondylar traction as a closed reduction technique in vertically unstable pelvic ring disruption [J]. Int Orthop, 2008, 32(1): 7-12.
19	Scherer J, Guy P, Lefaivre KA, et al. Guide wire insertion for percutaneous LC2 screws in acetabular and pelvic ring fixation using a transpedicular working cannula [J]. Injury, 2017, 48(10): 2360-2364.
20	Schildhauer TA, Mcculloch P, Chapman JR, et al. Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations [J]. J Spinal Disord Tech, 2002, 15(3): 199-205; discussion 205.
21	李明,陈剑明,姜耀国,等.髋臼横向双柱螺钉内固定治疗骨盆新月形骨折[J].中华创伤杂志, 2016, 32(8): 688-694.
22	袁毅,王涛,袁俊，等.经皮空心螺钉内固定术治疗DayⅡ型骨盆新月型骨折[J].中国修复重建外科杂志, 2018, 32(02):139-144.
23	Cai L, Zhang Y, Zheng W, et al. A novel percutaneous crossed screws fixation in treatment of Day type II crescent fracture-dislocation: A finite element analysis [J]. J Orthop Translat, 2020, 20: 37-46.
24	Bansal H, Gupta A, Mittal S, et al. Concerns regarding biomechanical stability of different fixations models in crescent fracture dislocation [J]. J Orthop Translat, 2021, 26: 181-182.
25	Giráldez-Sánchez MA, Lázaro-Gonzálvez Á, Martínez-Reina J, et al. Percutaneous iliosacral fixation in external rotational pelvic fractures. A biomechanical analysis [J]. Injury, 2015, 46(2): 327-332.
26	Cai L, Zhang Y, Chen C, et al. 3D printing-based minimally invasive cannulated screw treatment of unstable pelvic fracture [J]. J Orthop Surg Res, 2018, 13(1): 71.
27	王小阵,孟乘飞,汪国栋,等. 3D导航技术下经皮骶髂关节螺钉内固定治疗骶髂关节复合体损伤[J].中华创伤骨科杂志, 2016, 18(11): 921-926.
28	Chui KH, Chan CC, Ip KC, et al. Three-dimensional navigation-guided percutaneous screw fixation for nondisplaced and displaced pelvi-acetabular fractures in a major trauma centre [J]. Int Orthop, 2018, 42(6): 1387-1395.
29	Schweitzer D, Zylberberg A, Córdova M, et al. Closed reduction and iliosacral percutaneous fixation of unstable pelvic ring fractures [J]. Injury, 2008, 39(8): 869-874.
30	Li M, Huang D, Yan H, et al. Cannulated iliac screw fixation combined with Reconstruction plate fixation for Day type II crescent pelvic fractures [J]. J Int Med Res, 2020, 48(1): 300060519896120.
31	Avilucea FR, Whiting PS, Mir H. Posterior fixation of APC-2 pelvic ring injuries decreases rates of anterior plate failure and malunion [J]. J Bone Joint Surg Am, 2016, 98(11): 944-951.
32	Routt MC, Simonian PT, Grujic L. The retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions:a new technique [J]. J Orthop Trauma, 1995, 9(1): 35-44.
33	石成弟,郭晓山,胡炜,等.经皮空心钉固定治疗创伤性耻骨联合分离[J].中华骨科杂志, 2011, 31(11): 1218-1222.
34	Jatoi A, Sahito B, Kumar D, et al. Fixation of crescent pelvic fracture in a tertiary care hospital:a steep learning curve [J]. Cureus, 2019, 11(9): e5614.

[1]	Hanzhong Liu, Shenghui Huang, Junming Wan, Jiachun Li, Tao Shu. Efficacy comparison in treatment of tibial fractures with intramedullary nails via suprapatellar and lateral parapatellar approaches [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 795-801.
[2]	Fanyu Meng, Xinshe Zhou, Zhi Zhao, Lijia Pei, Ben Liu. Direct anterior approach in lateral hip replacement for hemiplegic limb femoral neck fracture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 865-870.
[3]	Zhichao Chen, Zhiwei Zhang, Xie Jiang, Zuchao Gu, Jingyun Jiang, Tingting Xu. Treatment of comminuted fracture of inferior pole of patella with suture anchor combined suture binding [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 732-735.
[4]	Chunlin Zhou, Yuanlong Han, Fei Ding, Weijie Wu. Analysis of ankle mortise morphological changes and function influencing factors after internal fixation of ankle fracture [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 736-740.
[5]	Luqiao Pu, Yongqing Xu, Baochuang Qi, Hongxin Shi, Wei Lin, Pengfei Bu, Yan Bai, Zhifang Tang, Chuan Li. Prospectus on clinical intervention guideline for anti-osteoporosis drugs in postoperative fragile hip fractures in China (2023 edition) [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 747-750.
[6]	Xiaoyong Xia, Lichao Wang, Zhiguo Zhu, Yunhai Cong, Zongxin Shi. Morphological characteristics and treatment strategy of deep collapse fracture of tibial plateau [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 625-632.
[7]	Kang Li, Xilin Geng, Yuliang Wang, Jingsheng Liu. Research progress in the diagnosis and treatment of ankle Logsplitter injury [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 566-570.
[8]	Xinyu Fang, Changyu Huang, Hongxin Hu, Yiming Lin, Yang Chen, Nanxin Zhang, Wenming Zhang. Treatment options and efficacy analysis of subchondral insufficiency fractures of knee [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 583-587.
[9]	Bo Wang, Ke Xu, Lin Liu, Binfei Zhang, Yan Zhuang, Peng Xu. Total hip replacement application in treatment of acetabular fractures in elderly patients [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(03): 385-390.
[10]	zhi Cao, Xiwang Zhu, Wei Wang, Hui Zhang, Chenglin Yang, Xiaoming Zhang. Correlation between different renal pellis pressures and perioperative complications during percutaneous nephrolithotomy [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 616-620.
[11]	Baisheng Fu, Qinghu Li, Dawei Wang, Fulin Tao, Yonghui Wang. Reaming and debridement combined with unilateral external fixator for chronic infection after intramedullary nailing of long bone fractures [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 289-294.
[12]	Peng Yang, Chong Liu. A cross-sectional study on occult blood loss and its risk factors after PFNA treatment of intertrochanteric fractures in the elderly [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(05): 301-306.
[13]	Yujie Jin, Xiao Yu, Xiaoqiang Zhou, Zhiqiang Li, Renjie Xu, Xiangxin Zhang, Guangxiang Chen. Correlation between the clinical efficacy and the position of internal fixation in the treatment of femoral neck fractures with femoral neck system [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 193-200.
[14]	Qianlong Zhang, Jirong Wang, Chenhui Song, Xiuxin Liu, Zheng Ren, Yuzhe Liu, Yusufu Alimujiang, Qi Qin, Jian Ran. Finite Element Analysis of Two Kinds of Intramedullary Nails Fixing A3.1 Intertrochanteric Fracture: Enhanced PFNA and Intertan [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(04): 209-217.
[15]	Yang Yang, Yongzhi Liu, Junfeng Liu, Xuetao Zhou, Dongsheng Zhang. A retrospective analysis of the clinical effects of complete thoracoscopic rib fracture internal fixation surgery in patients with rib fracture [J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(03): 137-142.

Please choose a citation manager

Content to export