Executive Editor: Peter Trafton

Authors: Rahul Banerjee, Peter Brink, Matej Cimerman, Tim Pohlemann, Matevz Tomazevic

Pelvic ring - A2.1

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Glossary

General considerations

A2.1 iliac crest fractures can usually be treated nonoperatively, unless there is significant displacement or deformity. Progressive displacement sometimes occurs, thus early follow-up is recommended.

Nonoperative
Main indication Skill Equipment
Acceptable deformity and displacement Basic surgical experience, no specialized skills Basic equipment only

Indications

  • Closed iliac wing fractures (Type A2.1) which are small, tolerably displaced.
  • Comminution that prevents satisfactory fixation
ORIF; iliac crest
Main indication Skill Equipment
Large fragment with significant displacement Some specialized surgical experience Simple surgical and imaging resources

Indications

  • Large significantly displaced A2 iliac wing fracture
  • Presence or possibility of unacceptable pelvic deformity
  • Open fracture, with debridement.
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2015-12-10