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J Orthop. 2017 Aug 09;14(4):530-536. doi: 10.1016/j.jor.2017.08.004. eCollection 2017 Dec.

Management of the open book APC II pelvis: Survey results from pelvic and acetabular surgeons in the United Kingdom.

Journal of orthopaedics

James R Gill, Colin Murphy, Ben Quansah, Andrew Carrothers

Affiliations

  1. Department of Trauma and Orthopaedics, Cambridge University Hospitals, Addenbrooke's, Cambridge, United Kingdom.

PMID: 28878511 PMCID: PMC5574843 DOI: 10.1016/j.jor.2017.08.004

Abstract

The results of this questionnaire show that the opinion of pelvic and acetabular surgeons in the UK and Republic of Ireland vary as to the best method of fixation for APC II pelvic injuries. A single anterior plate and single sacroiliac joint (SIJ) screw was the most popular fixation method, chosen by 34%. 74% favour a single, opposed to two orthogonal anterior plates. Posterior fixation supplementing anterior plating is preferred by 63% of surgeons, 58% use a single versus 42% two SIJ screws. Case by case assessment and intraoperative screening to assess stability is essential when considering whether to stabilise the SIJ.

Keywords: APC II; Anterior plating; Open book pelvis; Orthogonal double plating; Pubic symphysis diastasis; Sacroiliac joint screw; Symphyseal plating; Tile B1

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