Polytrauma

• DR. HELFET:
212-606-1888

• DR. LORICH:
212-746-4509

• DR. WEILAND:
212-606-1575

• DR. POSITANO:
212-606-1858

A 48 year-old male was involved in a motorcycle accident, after striking a deer which had entered the roadway. The patient was brought to the NYOTS and Radiographs revealed a left-sided pelvic fracture with a sacral and superior and inferior pubic rami fractures and a right-sided calcaneous fracture. Anterior external fixation was placed for initial stabilization of the pelvic fracture. Open Reduction and Internal Fixation (ORIF) was then performed for the calcaneous fracture with placement of with placement of a plate and screws and supplimental bone graft. Three days later, definitive surgery was performed for the pelvis fracture with reduction of the sacral fracture and placement of a percutaneous screw across the sacroiliac (SI) joint stabilizing the sacral fracture, and the pubic rami fractures were reduced and stabilized with a pelvic reconstruction plate and screws. He most recently returned for routine follow-up at 6 months following surgery and radiographs revealed healed pelvic and calcaneous fractures and he had resumed his occupation and all activities of daily living.

IMAGES

Figure A Anteroposterior (AP) injury pelvic radiograph revealing a left-sided pelvic fracture including a sacral fracture and and superior and inferior pubic rami fractures.

Figure B AP pelvic radiograph following initial closed reduction and placement of anterior pelvic external fixation.

Figure C CT scan images further illustrating the sacral fracture pattern.

Figure D Plain radiographs and CT scan images of the right foot revealing a right-sided calcaneous fracture.

Figure E Postoperative AP pelvic radiograph and CT Scan image illustrating illustrating acceptable reduction and placement of hardware.

Figure F Postoperative radiographs at 6 months demostrating a healed calcaneous fracture.

Figure G Postoperative radiographs at 6 months demostrating healed pelvic fractures.