Bladder incarceration following anterior pelvic infix of a traumatic pubic symphysis diastasis treated with immediate open reduction and internal fixation

Abstract Stabilization after a pelvic fracture can be accomplished using multiple techniques. The anterior external fixator has been traditionally used in variety of unstable pelvis either singly or in combination of posterior screws. These devices are cumbersome and restrict side turning and sittin...

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Bibliographic Details
Published in:Journal of clinical orthopaedics and trauma 2017-08, Vol.8 (Suppl 1), p.S11-S16
Main Authors: Jain, Mantu, Nanda, Saurav Narayan, Mohapatra, Soumya Shrikanta, Samal, Barada Prasanna
Format: Article
Language:English
Subjects:
Bladder incarceration
Case Report
Infix
Orthopedics
Pubic symphysis diastasis
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Summary:Abstract Stabilization after a pelvic fracture can be accomplished using multiple techniques. The anterior external fixator has been traditionally used in variety of unstable pelvis either singly or in combination of posterior screws. These devices are cumbersome and restrict side turning and sitting particularly in obese patients. An alternative, anterior subcutaneous pelvic internal fixation technique (ASPIF) was developed which is well tolerated by patients for mobility and comfort and biomechanically more stable construct Complications of this construct included irritation of the lateral femoral cutaneous nerve, femoral nerve palsy &heterotypic ossification with reduced rates of infections and aseptic loosening as compared to external fixator. Bladder incarceration following treatment has never been reported and we encountered such a problem during management which we want to highlight.
ISSN:0976-5662
2213-3445
DOI:10.1016/j.jcot.2017.06.010