Журнал травм и лечения

Calcium Phosphate Treatment for Acute Pubic Rami Fractures of the Pelvis: A new approach to Surgical Internal Fixation

Abstract

James M. Ray

Pubic rami fractures of the pelvis warrant more consideration in their management, as their incidence increases with our aging population. These fractures usually result from a low energy trauma such as a fall. These fractures result in a significant loss of autonomy in a previously active patient. Current treatment includes a non-surgical approach including bedrest, pain management, and mobility to comfort. This treatment plan can lead to potential co-morbidities that include cardiac, pulmonary, skin, and mobility issues. The indication for surgical intervention is narrow in scope and limited to observation, or in some cases, screw fixation. A method of internal fixation, using Calcium Phosphate, has led to improved outcomes in their management. This method of internal fixation provides an immediate improvement of post injury pain, an increase in immediate post treatment mobility and a decrease in the acute hospital length of stay. This minimally invasive surgical treatment is safe, affords minimal risk, and offers a high patient benefit in the care and management of patients with this pelvic fracture.