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Orthopedics

Complex Acetabulum and Pelvis Fracture Needs Multidisciplinary Approach to Patient Care

Pelvis FractureEric Miller, M.D., Director, Orthopaedic Trauma, Orthopaedic Focus Winter 2011

High-level trauma care requires a customized approach delivered by a team of physicians committed to the care of the injured patient. At Summa Health System, a team of eight orthopaedic surgeons, with specialty training in areas such as traumatology, sports medicine, foot and ankle surgery, joint arthroplasty, and oncology, is committed to providing injured patients an integrated, well-rounded approach to the treatment of their injuries.

From the most minor sprain or strain to the most complex pelvic and acetabulum fractures, Summa Health System surgeons provide the care trauma patients need.  Often these injuries require open, technically demanding techniques.

Figures 1 and 2 (below, left to right) show a patient who required extensive reconstruction of a combined pelvis and acetabulum fracture.  This necessitates a multidisciplinary approach among all involved with this patient’s care to ensure appropriate preoperative, intra-operative and postoperative care and rehabilitation. High-level trauma care requires a customized approach delivered by a team of physicians committed to the care of the injured patient. At Summa Health System, a team of eight orthopaedic surgeons, with specialty training in areas such as traumatology, sports medicine, foot and ankle surgery, joint arthroplasty, and oncology, is committed to providing injured patients an integrated, well-rounded approach to the treatment of their injuries.

OrthoFocusHipFig1 ComplexPelvicAcetabulumFractureFigure2

In addition to providing exceptional care with traditional, well-described fracture fixation techniques, Summa Health System’s orthopaedic surgeons offer treatment options that are not available at many trauma centers. An example is an injury such as the one pictured in figures 3 and 4 (below, left to right). This is an elderly female who suffered a fracture dislocation of her right acetabulum.

ComplexPelvicAcetabulumFractureFigure3 ComplexPelvicAcetabulumFractureFigure4

Traditionally, this injury requires a large open surgical approach with a significant amount of blood loss,
operative time and potential for complications. In elderly, fragile patients this is not ideal.

For select patients with appropriate fracture patterns, Summa Health System surgeons use minimally invasive, percutaneous techniques to obtain fixation through small percutaneous incisions in order to minimize blood loss and the physiologic insult that a large surgery would bring with it. This helps minimize infection risk and maximize the patient’s ability to rehab because of the minimal morbidity of this surgical technique. Many patients have received the benefits of this minimally invasive surgical approach.

Summa Health System serves as a referral center for acute injuries, as well as difficult problems that arise as late sequelae from otherwise simple fractures.

With knowledge, expertise and experience, Summa Health System surgeons create a customized approach to every patient’s problem, whether acute or chronic. This often consists of developing new and imaginative ways to tackle unusual problems based on a solid foundation of traditional fracture fixation techniques, yet modified by frontline thinking and innovation.

Summa Health System’s orthopaedic trauma takes great pride in providing a high level of care to trauma patients.  Our surgeons review cases on a regular basis in order to discuss each injury, assess the surgical correction and educate residents about caring for the trauma patient. This ensures a consistent, high-quality approach to patient-focused care.

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