Schaible, Samuel Friedrich; Hanke, Markus Simon; Tinner, Christian; Bastian, Johannes Dominik; Albers, Christoph E.; Keel, Marius Johann Baptist (2024). Corona mortis: clinical evaluation of prevalence, anatomy, and relevance in anterior approaches to the pelvis and acetabulum. European journal of orthopaedic surgery & traumatology, 34(3), pp. 1397-1404. Springer 10.1007/s00590-023-03808-3
|
Text
s00590-023-03808-3.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (843kB) | Preview |
PURPOSE
To evaluate the clinical prevalence, characteristics, and relevance of the corona mortis (CM) in anterior approaches to the pelvis and acetabulum.
METHODS
Retrospective analysis of 185 theater reports from patients (73 females; mean age 62.8 ± 17.2 years) who underwent surgeries for pelvic ring injuries, acetabular fractures, or combined injuries using anterior approaches (Modified Stoppa or Pararectus) at our institution between 01/2008 to 12/2022. During procedures, the CM was routinely identified, evaluated, and occluded. Bilateral exposure of the superior pubic branch in 25 cases led to 210 hemipelvises analyzed.
EXCLUSIONS
CM not mentioned in report and revisions via the initial approach.
RESULTS
In the 210 hemipelvises examined, the prevalence of any CM vessel was 81% (170/210). Venous anastomoses were found in 76% of hemipelvises (159/210), arterial in 22% (47/210). Sole venous anastomoses appeared in 59% (123/210), sole arterial in 5% (11/210). Both types coexisted in 17% (36/210), while 19% (40/210) had none. A single incidental CM injury occurred without significant bleeding. In ten cases, trauma had preoperatively ruptured the CM, but bleeding was readily managed. Females had a significantly higher CM prevalence than males (p = 0.001).
CONCLUSION
Our findings show a CM prevalence aligning more with anatomical studies than prior intraoperative series. Although we observed one incidental and ten trauma-related CM injuries, we did not encounter uncontrollable bleeding. Our data suggest that in anterior pelvic approaches, when the CM is actively identified and occluded, it is not associated with bleeding events, despite its high prevalence.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Schaible, Samuel, Hanke, Markus (B), Tinner, Christian, Bastian, Johannes Dominik, Albers, Christoph E., Keel, Marius |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1432-1068 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
11 Jan 2024 10:52 |
Last Modified: |
31 Mar 2024 00:15 |
Publisher DOI: |
10.1007/s00590-023-03808-3 |
PubMed ID: |
38197970 |
Uncontrolled Keywords: |
Acetabulum Anastomosis Corona mortis Modified Stoppa Pararectus Pelvic Trauma |
BORIS DOI: |
10.48350/191463 |
URI: |
https://boris.unibe.ch/id/eprint/191463 |
Actions (login required)
 |
Edit item |