Surgical Treatment in Unstable Fractures of the Pelvis and Acetabulum in Children Under 3 Years
Keywords:
type 2 diabetes mellitus, diabetic nephropathy, P-selectin (CD62P), E-selectin (CD62E), kidney tissue biopsy, microvascular complications., Hemodialysis, validation, Chronic kidney disease, Health-related quality of life, bolivia, latin america, Cross-cultural adaptation, patient outcomes, renal replacement therapy., Surgery, Child, fracture, pelvic, acetabularAbstract
The incidence of pelvic fracture represents between 0.5 to 1% of the total hospital admissions for pediatric trauma, in turn the acetabular fracture corresponds to one case per 100,000 children. This low presentation is due to the very special characteristics that this presents. bone segment that allows it to have great elasticity and great tolerance to trauma. We present two patients under three years of age with unstable type IV lesions in the modified classification of Torode and Zieg, who were managed surgically through open reductions and placement of osteosynthesis material. It is impossible to standardize management protocols in this age group, therefore the most appropriate thing is to adhere to pre-established treatment guidelines for skeletally mature people. Our objective is to highlight this type of high-energy injuries that occur with increasing frequency. regularity in very young patients and that on some occasions there will be the need, according to the fracture patterns, to perform the corresponding surgical stabilization to avoid major complications in the short, medium or long term.
References
V A de Ridder, S A Olson (2019) Operative Treatment of Pediatric Pelvic and Acetabulum Fractures. 33(Suppl 8), S33-S37.
A Gänsslen, N Heidari, A M Weinberg (2013) Fractures of the pelvis in children: a review of the literature. 23, 847–861.
S Banerjee, M J Barry, J M Paterson (2009) Paediatric pelvic fractures: 10 years experience in a trauma centre. 40, 410–413.
R D Blasier, J McAtee, R White (2000) Disruption of the pelvic ring in pediatric patients. 376, 87–95.
Marmor M, Elson J, C Mikhail (2015) Short-term pelvic fracture outcomes in adolescents differ from children and adults in the National Trauma Data Bank. 9, 65–75.
Bibiana Dello Russo, Oscar Bassini, Alejandro Zacarías, Jorge A Groiso (1995) Fracturas de pelvis en pacientes pediátricos. 60(2), 126-35.
Mehmet Elmadag, Mehmet Ali Acar (2013) A Modified Stoppa (Technique) Approach for Treatment of Pediatric Acetabular Fractures.
T J Quick, D M Eastwood (2005) Pediatric fractures and dislocations of the hip and pelvis. (432), 87–96.
W Schlickewei, T Keck (2005) Pelvic and acetabular fractures in childhood. 36(supplement 1), A57–A63.
F A Liporace, B Ong, A Mohaideen, A Ong, K J Koval (2003) Development and injury of the triradiate cartilage with its effects on acetabular development: review of the literature. 54(6), 1245–1249.
W J Bryan, H S Tullos (1979) Pediatric pelvic fractures: review of 52 patients. 19(11), 799–805.
M Heeg, H J Klasen, J D Visser (1989) Acetabular fractures in children and adolescents. 71(3), 418–421.
G McDonald (1980) Pelvic disruptions in children, 3. 151, 130–134.
N Schwarz, E Posch, J Mayr, F M Fischmeister, A F Schwarz, T Öhner (1998) Long-term results of unstable pelvic ring fractures in children. 29(6), 431–433.
T Stuhler, P Stankovic, P Krause (1977) Pelvic fractures in children: clinic, late results, biomechanic. 90, 187–198.
B J Shore, C S Palmer, C Bevin, M B Johnson, I P Torode (2012) Pediatric pelvic fracture: a modification of a preexisting classification. 32(2), 162-8.
R W Bucholz, M Ezali, J A Ogden (1982) Injury to the acetabular triradiate physeal cartilage. 64, 600–609.
S S Sridharan, D You, B Ponich, D Parsons, P Schneider (2020) Outcomes following pelvic ring fractures in the paediatric population: a systematic review. 11, 963–969.
A T M Nguyen, D P Drynan, A J A Holland (2022) Paediatric pelvic fractures - an updated literature review. 92(12), 3182-3194.
L Nieto-Lucio, S Camacho-González, J R Reinoso-Pérez (2010) Tratamiento de las fracturas de pelvis inestable tipo IV de la clasificación de Torode y Zieg en niños. 24(5), 338-344.
C P Holden, J Holman, M J Herman (2007) Pediatric pelvic fractures. 15, 172–177.
R Pascarella, C Bettuzzi, V Digennaro (2013) Surgical treatment for pelvic ring fractures in pediatric and adolescence age. 97, 217–22.
A Margalit, K V Suresh, B Hayashi (2021) Surgical treatment of unsta- ble pelvic ring injury in a young child: a case report. e20.00942.
G E Holt, G A Mencio (2003) Pelvic C-clamp in a pediatric patient. 17, 525–527.
P Sangasoongsong, N Sirisreetreerux, P Chanplakorn, P Woratanarat, C Suphachat wong, P Mulpruek (2015) Modification of spinal pedicle screw-plate fixation for bilateral pediatric pelvic ring injury in 2-year-old girl. 20, 795–801.
D Galos, T A Doering (2020) High-energy fractures of the pelvis and acetabulum in pediatric patients. 28, 353–62.
E Letournel, R Judet (1993) Fractures of the Acetabulum.
T Slongo (2015) Acetabular fractures in the pediatric patient: the immature skeleton.
R T Trousdale, R Ganz (1994) Posttraumatic acetabular dysplasia. 305, 124–132.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.
