BACKGROUND The Stoppa (intrapelvic) approach has been introduced for the treatment of pelvic-acetabular fractures; it allows easy exposure of the pelvic brim, where the bone quality is optimal for screw fixation. The purpose of our study was to investigate the surgical outcomes of unstable pelvic ring injuries treated using the Stoppa approach for stable anterior ring fixation. METHODS We ana...

BACKGROUND Although percutaneous posterior-ring tension-band metallic plate and percutaneous iliosacral screws are used to fix unstable posterior pelvic ring fractures, the biomechanical stability and compatibility of both internal fixation techniques for the treatment of Denis I, II and III type vertical sacral fractures remain unclear. METHODS Using CT and MR images of the second generation...

BACKGROUND This case series report discusses patients presenting with hemorrhage and hemodymanic compromise due to severe pelvic fractures and undergoing intraoperative angioembolization (IAE) with other resuscitative procedures. METHODS We used portable digital subtraction fluoroscopy units for IAE in patients with severe pelvic hemorrhage and hemodynamic instability (5/03-4/09). Data was co...

This retrospective study presents the mid-term outcome of polytrauma patients with pelvic ring and acetabular fractures operated using a modified Stoppa approach. We examined 32 patients (13 women and 19 men ; mean age 44 years) 24 to 40 months after the trauma. We performed a functional assessment of these patients using Majeed's score. Mean Majeed score was 86.9 +/- 8.22 with a range from 70 ...