Malgaigne fracture of the pelvis: treatment with percutaneous pin fixation. Report of two cases
Muller, J.; Bachmann, B.; Berg, H.
Journal of Bone and Joint Surgery. American Volume 60(7): 992-993
1978
ISSN/ISBN: 0021-9355 PMID: 701349 Document Number: 465
Disruption of the pelvic ring either by fracture or by sacro-iliac dislocation with displacement of most of the innominate bone is a Malgaigne. It is a relatively common injury (7 to 20 per cent of all pelvic fractures) and occurs frequently in vehicular accidents. Vigorous treatment including early, accurate reduction generally is advised, particularly of the sacro-iliac disruption because an unsound ankylosis and disabling, chronic sacro-iliac pain may supervene if reduction or fixation is inadequate. The treatment prescribed has been largely conservative. The older methods of reduction and immobilization in a spica cast or in long casts united by turnbuckles are difficult and often are ineffective. At present, longitudinal skeletal traction to reduce the cephalad displacement of the innominate fragment, followed by the use of a pelvic sling, is the therapy most frequently utilized and modifications of the traction which employ transfixation pins through the iliac crest have been suggested to meet the nursing problems inherent in the use of the pelvic sling. Conservative methods of treatment always require prolonged periods of bed rest and the traction apparatus or plaster casts may interfere with the treatment of other injuries.
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