Reduction and temporary stabilization of Tile C pelvic ring injuries using a posteriorly based external fixation system.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 20. Orthop Traumatol Surg Res. 2013 Jun;99(4):485-7. doi: 10.1016/j.otsr.2013.01.010. Epub 2013 May 3. Bilateral testicular dislocation with pelvic ring fracture: a case report and literature review. Boudissa M(1), Ruatti S, Maisse N, Arvin-Berod A, Trilling B, Long JA, Blaysat M, Tonetti J. Author information: (1)Orthopedic and Tramatologic Surgery Department, Grenoble University Hospitals, Northern Hospital, 38700 La Tronche, France. mboudissa@chu-grenoble.fr We report a case of a bilateral testicular dislocation with B1-1 pelvic-ring fracture according to the modified Tile AO classification, in a patient of 62 years. The mechanism of injury was impaction on the tank of a motorcycle. Symphyseal plate fixation using a Pfannenstiel approach was associated to bilateral orchidopexy through scrotal approach. The posterior pelvic ring was stabilized by iliosacral screwing because the left sacroiliac joint was open. The outcome was favorable without disorders of gonadal function. Systematic testicular palpation and careful CT analysis of the genital organs enabled identification and effective management of these rare urinary tract lesions. Copyright © 2013 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.otsr.2013.01.010