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Acta Ortop Mex. 2015 Nov-Dec;29(6):323-7.

[Closed reduction of the sacroiliac joint and acetabular reconstruction in a pediatric patient with a Torode/Zieg IVd unstable pelvic fracture. Case report].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Servicio de Cirugía de Cadera, Pelvis y Acetábulo. Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
2
Servicio de Traumatología Pediátrica. Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
3
Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE) "Victorio de la Fuente Narváez" Instituto Mexicano del Seguro Social (IMSS) México, D.F.
4
Universidad Nacional Autónoma de México (UNAM) Dirección de Educación e Investigación. México.

Abstract

in English, Spanish

BACKGROUND:

High-energy severe pelvic injuries in pediatric patients are rare, particularly those associated with acetabular fractures. They are life threatening injuries.

METHOD:

We report the case of a pediatric patient with a diagnosis of a Torode/Zieg IVd pelvic fracture. The clinical and radiographic data was reviewed retrospectively.

CLINICAL CASE:

Male, 12 year-old polytraumatized patient with an unstable pelvic fracture who underwent multidisciplinary treatment. He was stabilized in the intensive care unit; the general surgery service performed laparotomy; orthopedic management consisted of closed reduction and internal fixation of the sacroiliac fracture-dislocation and later of open reduction and internal fixation of the right acetabular fracture. The patient´s clinical course was appropriate.

CONCLUSIONS:

A diagnosis of a type IVd Torode/Zieg fracture is an absolute indication for surgical management. A multidisciplinary approach is essential to save the life of patients with unstable pelvic lesions. This case shows the complexity of an unstable pelvic fracture associated with multiple injuries, due to a rather infrequent mechanism of injury (being crushed by a tree) in a patient with an immature skeletal system.

KEYWORDS:

Acetabular fracture; internal fixation; multiple trauma; pediatric patient; sacroiliac joint

PMID:
27403522
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