A radiographic simulation study of fixed superior pubic ramus fractures with retrograde screw insertion

All superior pubic ramus fractures are not created equal.

OBJECTIVE To assess whether patients with a fracture of the high superior pubic ramus have functional outcomes worse than those of the lower or more central superior pubic ramus. METHOD We carried out a retrospective cohort study of all patients with pubic ramus fractures seen in either the emergency department or outpatient clinic of a level-1 trauma centre in Montreal. Patients were grouped...

Anatomic study for pubic medullary screw insertion.

PURPOSE To study the anatomy of the pubic ramus and adjacent structures in 160 Japanese to establish a safer pubic screw fixation technique. METHODS 80 male and 80 female Japanese aged 16 to 89 (mean, 50) years (10 persons in each decade of age) underwent 3-dimensional computed tomographic scanning of their pelvises. The angle at which the screw should be targeted, the appropriate length of t...

Stress fractures of the pubic ramus.

Lateral compression fractures of the superior pubic ramus with intra-articular extension.

A total of 30 patients with lateral compression fractures of the pelvis with intra-articular extension into the anterior column were followed for a mean of 4.2 years (2 to 6), using the validated functional outcome tools of the musculoskeletal function assessment and the short-form health survey (SF-36). The functional outcome was compared with that of a series of patients who had sustained typ...

Preliminary results of cannulated screw fixation for isolated pubic ramus fractures

Isolated pubic ramus fractures are common fractures in the elderly, and treatment is typically non-operative. Up to 35 % of patients have a prolonged hospital stay due to pain. A small number of these patients do not respond to standard (non-operative) treatment. We retrospectively reviewed six patients with isolated pubic ramus fractures and persistent pain who were treated with percutaneous r...