Safe Surgical Pelvic Ring Injury in Elderly : a Case Report

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Introduction : In elderly, pelvic ring injury can happen in low energy trauma, thus can be a problem in mortality rate. The initial treatment prior to stabilize the hemodynamic and pelvic injury, with goal of the treatment is to minimize the further risk and complications. The surgical technique is minimal invasive technique (approach) that made less dissection and damage the structure.


Case presentation : 76 years old female, fall from a height with her left hip bump to the floor. In the emergency department, there was a problem with the hemodynamic and already stabilized with balance fluid, blood transfusion and pelvic sling, finally followed by surgery for six days later.


Discussion : After hemodynamic stabilization, performed with plate screw fixation by modified stoppa and lateral window, in the posterior with percutaneous screw, allowed safe and less damaging the structures and early recover, mobilization, less stay in the hospital.


Conclusion : In elderly,  pelvic ring injury is a high risk of mortality. By proper treatment, less or minimize the approach, with modified stoppa and percutaneous screw for posterior, the risk and complication might have decreased.




Pelvic ring injury in elderly, modified stoppa, percutaneous screw.


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