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The Pelvis
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Tile's classification is one of the most used and classifies fractures into three main types (from A1 to C3). Pelvic ring fractures can be classified into three types, using the Tile classification, based on their severity.
Torso trauma
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Pelvic ring fractures can be classified into three types, using the Tile classification (for subtypes and other classifications see Further reading), based on the severity of the fracture (and reflecting the energy required to cause it) (Figure27.11). However, no fracture pattern can exclude significant haemorrhage.
Injuries of the pelvis
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
At first glance both classifications appear daunting. Use the Young and Burgess first. In many cases the mechanism of action is given in the history and one can predict the type of fracture pattern seen. Then use the Tile classification to decide whether the injury is stable or not.
Association Between Stability and Urologic Lesions in Pelvic Ring Fractures. A Case Series Report
Published in Journal of Investigative Surgery, 2021
Sebastián Corró, Andrea Sallent, Aleix Pons, MD, Óscar Ares, David Barastegui, Roberto Seijas
One of the main factors that determine PRF severity and treatment is the degree of instability. Instability emerges as a consequence of pelvic ring disruption and can be further classified into rotational and vertical. The Tile classification distinguishes three types of PRF based on their degree of instability [2]. According to the mentioned classification, type A fractures are inherently stable, type B are rotationally unstable but vertically stable and type C are rotationally and vertically unstable (Figures 1 and 2). Additionally, three subtypes can be distinguished for each type of PRF depending on the degree of instability present.
Pelvic Ring Fractures and Lower Urinary Tract Injuries
Published in Journal of Investigative Surgery, 2021
A strength of this study is that the Tile classification system was used to accurately characterize all analyzed PRFs. Conversely, limitations of the study are that the extent, grade, management and outcomes of each LUTI were not measured or analyzed in detail. Therefore, it is difficult to clearly determine whether more unstable PRFs resulted in higher grades of bladder and urethral injuries [4]. In addition, it is difficult to make definitive conclusions based on the relatively small numbers in the subgroup analysis. For example, the LUTI incidence rate of 22.2% in Tile C3 factors is based on a subgroup analysis of only 9 patients.
Study of the X-Ray Diagnosis of Unstable Pelvic Fracture Displacements in Three-Dimensional Space and its Application in Closed Reduction
Published in Journal of Investigative Surgery, 2019
Chengdi Shi, Leyi Cai, Wei Hu, Junying Sun
In this study, the Tile classification was used. There were three cases of Tile B2.2, which is the bucket handle injury. For this fracture, the violence was above the iliac wing; thus, the ipsilateral pelvis was in the horizontal plane and sagittal plane rotation displacement occurred: varus and supination. The anterior ring structures of the ipsilateral side moved inward and upward; this type of movement may be accompanied by L5 transverse process avulsion fractures, which can be easily confused with vertically displaced fractures.