Efficacy of Various Arrangements of Pelvic External Rod Fixators in Polytraumatized Patients at Resuscitation Step


Application of external fixators (EF) in pelvic fractures is one of the important components of antishock therapy in patients with polytrauma. However various fixation techniques possess certain advantages and disadvantages. Comparative analysis of 4 most commonly used variants of pelvic EF mounting, i.e. classic - via upper flaring portion of the ilium, supra-acetabular, orthogonal - combination of screws passes through the wings and supra-acetabular region, and subcristal, that were applied in 32, 48, 13 and 3 patients, was performed. Results of the analysis showed that supra-acetabular pelvic fixation technique a preferable one due to its high efficacy and lower rate of complications as compared to other external fixation methods.

About the authors

P. A Ivanov

Central Institute for Emergency Care named after Sklifosovskiy, Moscow, Russia

N. N Zadneprovskiy

Central Institute for Emergency Care named after Sklifosovskiy, Moscow, Russia

Email: zacuta2011@gmail.com


  1. Riemer B.L., Butterfield S.L., Diamond D.L. Young J.C., Raves J.J., Cottington E., Kislan K. Acute mortality associated with injuries to the pelvic ring: the role of early patient mobilization and external fixation. J. Trauma. 1993; 35 (5): 671-5.
  2. Стельмах К.К. Лечение больных с тяжелыми повреждениями костей таза аппаратами внешней фиксации: Автореф. дис … канд. мед. наук. Екатеринбург; 1993.
  3. Kim W.Y., Hearn T.C., Seleem O., Mahalingam E., Stephen D., Tile M. Effect of pin location on stability of pelvic external fixation. Clin. Orthop. Relat. Res. 1999; (361): 237-44.
  4. Рунков А.В. Чрескостный остеосинтез таза и вертлужной впадины: Методическое руководство. Екатеринбург: Издательство Уральского университета; 2000.
  5. Buckle R., Browner B., Morandi M. Emergency reduction for pelvic ring disruptions and control of associated hemorrhage using the pelvic stabilizer. Tech. Orthop. 1994; 9 (4): 258-66.
  6. Bircher M.D. Indication and techniques of external fixation of the injured pelvis. Injury. 1996; 27 (Suppl 2): B3-19.
  7. Ertel W. General assessment and management of the polytrauma patient. In: Tile M., Helfet D., Kellam J., eds. Fractures of the pelvis and acetabulum. 3rd ed. Philadelphia: Lippincott, Williams and Wilkins; 2003: 61-79.
  8. Pohlemann T., Regel G., Bosch U. et al. Notfallbehandlung und komplextrauma. In: Tscherne H., Pohleman T., eds. Becken and acetabulum. Berlin: Springer; 1998: 89-116.
  9. McRae R. Practical fracture treatment. 3rd ed. Churchill Livingstone; 1994: 239-42.
  10. Waikakul S., Kojaranon N., Vanadurongwan V., Harnroongroj T. An aiming device for pin fixation at the iliac crest for external fixation in unstable pelvic fracture. Injury. 1998; 29 (10): 757-62.
  11. Archdeacon M.T., Arebi S., Le T.T., Wirth R., Kebel R., Thakore M. Orthogonal pin construct versus parallel uniplanar pin constructs for pelvic external fixation: a biomechanical assessment of stiffness and strength. J. Orthop. Trauma. 2009; 23 (2): 100-5.
  12. Solomon L.B., Pohl A.P., Sukthankar A., Chehade M.J. The subcristal pelvic external fixator: technique, results, and rationale. J. Orthop. Trauma. 2009; 23 (5): 365-9.



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