Pelvic Fx Anterior External Fixation
synonyms: Pelvic Ex Fx, pelvic external fixation
Pelvic Ex Fix CPT
- 20690 Application of uniplane (pins or wires in one plane). unilateral, external fixation
- 20692 Application of multiplane (pins or wires in more than one plane), unilateral
Anatomy
Indications
- hemodynamically stable or unstable pt with A/P compression type II and III,
- lateral compression type II and III
- vertical shear
- combined instablility fractures. (Poka A CORR 329:54;1996)
Contraindications
- Floating iliac wing
- Ipsilateral acetabular fx
- Arterial bleeding
Alternatives
Planning / Special Considerations
Technique
- Pre-operative antibiotics, +/- regional block
- General endotracheal anesthesia
- position. All bony prominences well padded.
- Examination under anesthesia.
- Prep and drape in standard sterile fashion.
- Irrigate.
- Close in layers.
- Technique-skin incisions at 90 degrees to iliac crest, use guide sleeves, 5mm or larger blunt 1/2 pins, 2 converging pins in anterior 1/3 of iliac wing, first pin 2cm posterior to ASIS, feel center of iliac crest with guide, aim towards greater troch, drill cortex only then hand tighten half pins aiming towards greater troch frame must allow access to abdomen and allow for swelling,
Complications
Follow-up care
Outcomes
Review References
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