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International Orthopaedics
Published in: International Orthopaedics 11/2018

01-11-2018 | Review Article

Vertical shear pelvic injury: evaluation, management, and fixation strategies

Authors: Laura Blum, Mark E. Hake, Ryan Charles, Todd Conlan, David Rojas, Murphy Trey Martin, Cyril Mauffrey

Published in: International Orthopaedics | Issue 11/2018

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Abstract

Vertical shear pelvic ring fractures are rare and account for less than 1% of all fractures. Unlike severely displaced antero-posterior compression and lateral compression pelvic fractures, patients’ mortality is lower. Nevertheless, patients must be managed acutely using well-defined ATLS protocols and institution-specific protocols for haemodynamically unstable pelvic ring fractures. The definitive treatment of vertical shear pelvic fractures is however more controversial with a paucity of literature to recommend the ideal reduction and fixation strategy. While the majority of injuries can be reduced and fixed in a closed manner, orthopaedic traumatologists should be familiar with the contraindications to those techniques as well as options such as tension band plating and lumbo pelvic fixation. Our paper reviews the acute management, associated injuries and definitive reduction and fixation strategies of vertical shear pelvic fractures. In addition, we propose a treatment algorithm for the selection of the most appropriate fixation technique.
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Metadata
Title
Vertical shear pelvic injury: evaluation, management, and fixation strategies
Authors
Laura Blum
Mark E. Hake
Ryan Charles
Todd Conlan
David Rojas
Murphy Trey Martin
Cyril Mauffrey
Publication date
01-11-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 11/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-3883-1

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