Closed reduction and minimally invasive surgical treatment of type IIIa fragility fractures of the pelvis associated with ipsilateral periprosthetic femur fracture: A case report

Yohei Yanagisawa; Yu Watanabe; Yukei Matsumoto; Takeshi Makihara; Yoshiaki Inoue; Masashi Yamazaki

doi:10.1016/j.tcr.2020.100374

Closed reduction and minimally invasive surgical treatment of type IIIa fragility fractures of the pelvis associated with ipsilateral periprosthetic femur fracture: A case report

Trauma Case Rep. 2020 Nov 6:30:100374. doi: 10.1016/j.tcr.2020.100374. eCollection 2020 Dec.

Authors

Yohei Yanagisawa^{1

2}, Yu Watanabe^{1

2}, Yukei Matsumoto^{1

2}, Takeshi Makihara², Yoshiaki Inoue³, Masashi Yamazaki²

Affiliations

¹ Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan.
² Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
³ Department of Emergency and Critical Care Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Abstract

Patients with fragility fractures of the pelvic ring (FFP) are elderly and, from the perspective of surgical invasion, percutaneous and stable fixation may be a superior surgical method than open reduction and internal fixation (ORIF). While in the case of FFP type IIIa, ORIF, as a rule, typically requires open reduction of the displaced ilium via an anterior intrapelvic approach and/or lateral window of the ilioinguinal approach. We have reported here the case of an 89-year-old woman who suffered from FFP type IIIa with ipsilateral periprosthetic femur fracture that was surgically treated. The iliac fracture was approached in a minimally invasive manner using the traction operation while preparing for femoral shaft fracture surgery, which did not require open reduction, and showed favorable outcomes.

Keywords: Closed reduction; Fragility fractures of the pelvis; Minimally invasive surgery; Osteoporotic pelvic fracture; Periprosthetic femur fracture; Traction table.

Publication types

Case Reports