Ilium

Vertical shear pelvic ring injuries present a unique challenge due to their inherent vertical and rotational instability. Binders, sheets or external fixators may at times underestimate the severity of initial displacement or mask associated occult injuries. Preoperative CT is necessary for adequate planning based on patient anatomy and injury characteristics. We present our preferred method of treatment for vertical shear pelvic ring injuries and focus on the surgical technique.

According to recently published results, there was no difference seen in clinical and radiologic outcomes with the Latarjet procedure and iliac crest bone graft transfer procedure. However, patients who underwent the Latarjet procedure had worse internal rotation capacity. Frequent donor-site sensory disturbances were seen with the iliac crest bone graft transfer procedure.