Tips and Tricks for Handling Pelvic Fractures

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Alessandro Aprato, MD – Orthopaedic Surgeon, University of Turin, Torino, Piedmont, Italy
Matteo Giachino, MD – Orthopaedic Surgeon, University of Turin, Torino, Piedmont, Italy
Alessandro Massè, MD – University of Turin, Torino, Piedmont, Italy

Series: Trauma and Recovery; Orthopedic Research and Therapy
BISAC: MED065000; MED085120
DOI: https://doi.org/10.52305/TPFL7458

Pelvic and acetabular fractures represent a challenge for orthopedic surgeons, from the acute treatment to the long-term consequences. The frequently associated lesions of high-energy traumas, the complexity of the anatomical district involved, the difficulties in surgical exposures and reduction and fixation techniques make the management of pelvic and acetabular fractures a never-ending field of research that needs to be periodically updated. Even if the milestones enounced by the fathers of the discipline like Judet, Letournel, Tile and others are still a firm and essential guidance, some new approaches, less invasive techniques, more performing hardwares and refined management protocols are nowadays modern acknowledged expertises and are intended to be summed up in this book.

Pelvic and abdominal trauma has been widely studied for its high mortality and morbidity rates. In the last few years outstanding improvements of the outcomes have been made; one of the goals of the publication is to offer state of the art management of such lesions. Moreover, in every chapter a distinguished surgeon discusses the basic techniques, their modifications and the new trends for the treatment of pelvic and acetabular fractures.

This book will show how surgical exposures have been refined in recent years to be less invasive and more effective. For example, the great success of the modified Stoppa approach, or anterior intrapelvic approach, has widely redefined the indications for one approach rather than the other, as historically established. Another remarkable trend in pelvic and acetabular surgery is the adoption of percutaneous and mini-invasive techniques that have been developed together with the employment of new imaging and guidance technologies.

The aim of this book is to be a guide for the growth of less experienced surgeons, and at the same time a valuable updated compendium for the specialists.

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Table of Contents

Preface

Chapter 1. A Guideline for Acute Pelvic Injury
Cristiano De Franco, MD, Gabriele Colò, MD, Alberto Battini, MD and Kristijan Zoccola, MD
Department of Orthopaedics and Traumatology, Regional Center for Joint Arthroplasty, ASO Alessandria, Alessandria, Italy

Chapter 2. The Preoperative Treatment of Acetabular Fractures
Marco Stella1, MD, Emmanuele Santolini2, MD, Michele Ceccarelli3, MD and Federico Santolini3, MD
1Orthopedics and Trauma Unit, Galliera Hospital, Genoa, Italy
2Academic Department of Trauma and Orthopaedics, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK
3Orthopaedics and Trauma Unit, Emergency Department, Ospedale Policlinico San Martino, Genoa, Italy

Chapter 3. Tips and Tricks for Iliosacral Screw Placement
Alberto Ferreli1, MD, Antonio Rea2, MD, Stefano Congia1, MD, Alessandro Palmas1, MD
1Division of Orthopaedics and Traumatology, Brotzu Hospital, Cagliari, Sardinia, Italy
2School of Medicine, University of Turin, Turin, Italy

Chapter 4. Tips and Tricks for Complex Iliosacral Fracture Dislocation Reduction and Fixation
Mario Arduini1, MD, Lucio Cipollaro2, MD and Mohamed Rohayem3, MD
1 Department of Orthopaedics and Traumatology, Policlinico Tor Vergata, Roma, Italy
2Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Baronissi, Italy; Clinica Ortopedica, Ospedale San Giovanni di Dio e Ruggi D’Aragona, Salerno, Italy
3Department of Orthopaedics and Traumatology, Tanta University, Egypt

Chapter 5. Tips and Tricks for Spinopelvic Fixation
Francesco Liuzza, MD, Domenico De Mauro, MD, Amarildo Smakaj, MD and Lorenzo Are, MD
Department of Orthopaedics and Traumatology, A. Gemelli University Hospital, Rome, Italy
Catholic University of the Sacred Heart, Rome, Italy

Chapter 6. Anterior Subcutaneous Pelvic Internal Fixator (INFIX): Indications and Technical Notes
Luigi Branca Vergano1, MD, Lapo De Luca1, MD, Alberto Maurizio1, MD and Mauro Monesi2, MD
1Department of Orthopaedics and Traumatology, Ospedale Santa Chiara, Trento, Italy
2Department of Orthopaedics and Traumatology, Ospedale M. Bufalini, Cesena, Italy

Chapter 7. Tips and Tricks for Acetabular Fracture Reduction and Fixation Through the Ilioinguinal Approach (Technical Notes)
Alessandro Casiraghi1, MD, Stefano Cattaneo1, MD, Claudio Galante1, MD and Mohamed Rohayem2, MD
1Department of Bone and Joint Surgery, ASST Spedali Civili, Brescia, Italy
2Department of Orthopaedics and Traumatology, Tanta University, Egypt

Chapter 8. Tips and Tricks for Acetabular Fracture Reduction and Fixation Through the Kocher–Langenbeck Approach (Technical Notes)
Pascarella Raffaele, MD, Cerbasi Simone, MD, Lattanzi Giuliano, MD, Carola Donato, MD and Maresca Alessandra, MD
Unit of Orthopaedics and Trauma Surgery, Ospedali Riuniti, Ancona, Italy

Chapter 9. Tips and Tricks for Acetabular Fracture Reduction and Fixation Through the Safe Surgical Dislocation Approach (Technical Notes)
Alessandro Aprato1, MD, Monica Bonera1, MD, Jacopo Vittori1, MD, Andrea Donis1, MD, Matteo Giachino2, MD and Alessandro Massè1, MD
1School of Medicine, University of Turin, Turin, Italy
2Orthopaedic Department, University of Turin, Italy

Chapter 10. Tips and Tricks for Acetabular Fracture Reduction and Fixation Through
the Endopelvic Approach
Cavanna Matteo1, MD, Dorotei Andrea1, MD, Matteo Commessatti3, MD and Mezzadri Umberto2, MD
1Department of Orthopaedics and Traumatology, Humanitas Hospital Research, Rozzano (Mi), Italy
2Department of Orthopaedics and Traumatology, Grande Ospedale Metropolitano Niguarda, Milano, Italy
3Department of Orthopaedics and Traumatology, Ospedale Maggiore di Bologna, Bologna, Italy

Chapter 11. Tips and Tricks for Acute Hip Replacement in Acetabular Fractures (Technical Notes)
Alessandro Aprato1, MD, Andrea Donis1, MD, Matteo Giachino2, MD and Alessandro Massè1, MD
1School of Medicine, University of Turin, Turin, Italy
2Orthopaedic Department, University of Turin, Italy

Chapter 12. Minimally Invasive Treatments in Acetabular Fractures
Mezzadri Umberto1, MD, Bove Federico1, MD and Addevico Francesco1, MD
1Department of Orthopaedics and Traumatology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

Chapter 13. Avulsion Fractures of the Pelvic Apophyses: Surgical Tips and Tricks
Alessandro Aprato1, MD, Marco Bechis1, MD, Michele Reboli1, MD, Andrea Donis1, MD, Matteo Giachino2, MD and Alessandro Massè1, MD
1School of Medicine, University of Turin, Turin, Italy
2Orthopaedic Department, University of Turin, Italy

Chapter 14. Post-Operative Choices in Acetabular and Pelvic Fractures
Matteo Cavanna1, MD and Marco Berlusconi2, MD
1Humanitas Hospital Research Rozzano (Mi), Italy
2Ospedale S. Anna Como, Italy

Chapter 15. Complications of Pelvic Fractures
Rocco Erasmo1, MD, Andrea Donis2, MD, Francesca Michelucci1, MD and Tommaso Scuccimarra1, MD
1Orthopedics and Traumatology Complex Operating Unit, Santo Spirito Civil Hospital, Pescara, Italy
2School of Medicine, University of Turin, Turin, Italy

Chapter 16. Complications of Acetabular Fractures
Antonio Panella1, MD, Antonella Benedetto2, MD, Stefano Rizzo2, MD and Marco Smaldino2, MD
1 Department of Orthopaedics and Traumatology, U.O.C. “Don Tonino Bello” Molfetta, ASL Bari, Italy
2 School of Medicine, University of Bari, Bari, Italy

Index


Editor’s ORCID iD

Alessandro Aprato: 0000-0002-2514-4719
Matteo Giachino: 0000-0003-1818-7689
Alessandro Massè: 0000-0003-3999-4121

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