Minimally invasive reduction system for the surgical treatment of pelvic ring injuries: a case report

High-energy pelvic fractures represent a considerable challenge in modern traumatology and orthopedics, associated with a high risk of massive blood loss, thromboembolism, neurological deficits, and prolonged lоss of function. Unstable, comminuted fractures pose a particular difficulty, requiring not only early stabilization but also precise anatomical reductiоn of all elements of the pelvic ring.

Achieving proper fragment alignment, especially in cases of vertical and rotational displacement, remains a complex task. Open surgical approaches are associated with significant blood loss, risk of damage to neurovascular structures, and infectious complications, highlighting the need for the development of minimally invasive techniques.

This article describes the clinical experience of intraoperative application of a pelvic reduction frame for anatomical reduction in a comminuted pelvic fracture, as well as an assessment of rehabilitation outcomes, long-term functional results, and patient quality of life.

We present a clinical case оf a 39-year-old patient who sustained multiple pelvic fractures due to a fall from height. The article demonstrates the use оf an intraoperative pelvic reduction frame (hereinafter referred to as the “pelvic frame”) during closed reduction and osteosynthesis of the pelvic ring, which facilitated early patient verticalization and led to good functional outcomes (Majeed score 88, Oxford Hip Score 52).

This clinical case confirms the effectiveness of using a pelvic frame in the treatment of complex, vertically unstable pelvic fractures. The methоd provided accurate closed reduction and stable fixation without the need for extensive surgical approaches. This, in turn, enabled early mobilization and a favorable long-term functional result.