Polytrauma patients with orthopaedic injuries

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 our emergency department and radiographs revealed a left-sided pelvic fracture with a sacral and superior and inferior pubic rami fractures and a right-sided calcaneus fracture.

He was placed under the care of David L. Helfet, MD at the Orthopaedic Trauma Service of the Hospital for Special Surgery. Anterior external fixation was placed for initial stabilization of the pelvic fracture.

Open Reduction and Internal Fixation (ORIF) was then performed for the calcaneal fracture with placement of with placement of a plate and screws and supplemental 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 calcaneus fractures and he had fully resumed his occupation and all activities of daily living.

  • Figure A, B, C

    Figure A, B, C

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

    (B) AP pelvic radiograph following initial closed reduction and placement of anterior pelvic external fixation (top right image)

    (C) CT scan images further illustrating the sacral fracture pattern.

    Enlarge

  • Figure D

    Figure D

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

    Enlarge

  • Figure E

    Figure E

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

    Enlarge

  • Figure F

    Figure F

    Postoperative radiographs at 6 months demonstrating a healed calcaneous fracture.

    Enlarge

  • Figure G

    Figure G

    Postoperative radiographs at 6 months demonstrating healed pelvic fractures.

    Enlarge

Tags: ,

Our Patients

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

  • “I was comforted and reassured that I was in good hands now and on the road to recovery.”

    ~ Lana

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

  • “I thank the doctors at NYP/HSS for giving me my life back.”

    ~ Caitlyn Kearns

    Read Full Story

  • “I got back up on my snowboard a month ago!”

    ~ Patricia Sykes

    Read Full Story

  • “We could not have wished for a better outcome given a very severe and untimely injury.”

    ~ James DeSousa

    Read Full Story

  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504