Single stage reconstruction of a neglected open book pelvic injury with bladder herniation into the upper thigh: a case-report.
Arch Orthop Trauma Surg
; 141(5): 855-859, 2021 May.
Article
en En
| MEDLINE
| ID: mdl-32728978
ABSTRACT
When open-book injuries are neglected and result into a pelvic malunion or nonunion, long-term problems, such as chronic pain, gait abnormalities, sitting discomfort, neurological symptoms and urogenital symptoms can occur. In this case report, we describe the repair of a neglected pelvic disruption with the dislocation of the urinary bladder in a one-stage procedure. The clinical image with which the patient presented could be split into unique sub-problems, for which separate solutions needed to be chosen large symphysis diastasis, instability and pain in both SI joints, malunion of the superior and inferior pubic rami fractures; and urinary bladder herniation into the upper thigh. In a single-stage procedure, the pelvic ring was reconstructed and the bladder reduced. The patient was thereafter continent for urine and could walk independently. A complex clinical problem was divided into its sub-problems, for which specific solutions were found.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Huesos Pélvicos
/
Muslo
/
Vejiga Urinaria
/
Procedimientos de Cirugía Plástica
/
Fracturas Óseas
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Arch Orthop Trauma Surg
Año:
2021
Tipo del documento:
Article
País de afiliación:
Alemania