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Additional info for Fractures of the Pelvis and Acetabulum
This injury pattern is unstable with regard to external rotation, but the posterior sacroiliac ligaments remain partially intact, thus providing vertical stability. Type B2: The “lateral compression” injury is characterized by Tile as an internal rotation of the hemipelvis with anterior pubic rami fractures and posterior impaction fracture of the sacrum across the sacroiliac joint. 1: Ipsilateral injury with two distinct injury patterns: (i) dislocation and internal rotation of the pubic rami, potentially causing urogenital lesions, especially in young female patients, are referred to as “tilt fractures;” (ii) the “locked symphysis” is characterized by a fixed overlapping dislocation of the symphysis.
18. 19. 20. 21. Tile M. Acute pelvic fractures: I. Causation and classification. J Am Acad Orthop Surg 1996; 4:143 – 151. Pennal GF, Sutherland GO. Fractures of the Pelvis. Park Ridge, IL: American Academy of Orthopedic Surgeons, 1961. Pennal GF, Tile M, Waddell J, et al. Pelvic disruption: assessment and classification. Clin Orthop Relat Res 1980; 151:12– 21. Orthopedic Trauma Association Committee for Coding and Classification. Fracture and Dislocation Compendium. J Orthop Trauma 1996; 10(suppl 1):1– 154.
Type C3: “Pelvic crush” with bilateral complex pelvic instability and massive damage to soft tissues and intrapelvic organs. Tile/AO type C fracture. Since this classification system is new (9), its prognostic value needs to be corroborated in future prospective clinical trials. 24 Fakler et al. REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Tile M. Acute pelvic fractures: I. Causation and classification. J Am Acad Orthop Surg 1996; 4:143 – 151. Pennal GF, Sutherland GO.