Pelvic Fracture - Results of Early External Fixation
Abstract
Background: The behavior of pelvic ring fracture following surgical fixation has been very sparsely studied. Pelvic ring injuries, depending on their severity had been treated by variety of closed method. The purpose of the study is to assess the short-term functional outcome of pelvic ring fracture following surgical fixation.
Method: Present prospective study consists of 62 patients of pelvic fracture admitted in department of orthopedics, NSCB medical college and hospital Jabalpur (M.P) during the period of Oct. 2010 to Sep. 2011. All patient of type A (stable) fracture treated by conservative method. Out of 40 patients of unstable pelvic fracture (involving pelvic ring) 14 were treated by surgical method. Out of 14 patients 4 were treated by external fixation, 8 by internal fixation, and 2 by combined external and internal fixation. Functional outcome assessment was done by Majeed Scoring System [1].
Results: Functional outcome score in surgically treated patient is excellent in 7 patients, good in 4, fair in 2, and poor in 1 patient at 3 month follow-up. Pain is the most common complaint after 3 month of surgical fixation, it is seen in 4 patients (28.57%) but only 1 patient changed his job because of this pain.
Conclusion:Unstable Pelvic ring injury has poor outcome, it should be treated by operative methods for optimal functional outcome.
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References
TornettaP,Dickson K, Matta JM. Outcome of rotationally unstable pelvic ring injuries treated operatively. ClinOrthopRelat Res 1996;329:147-51.
Henderson RC. The long term results of non-operatively treated major pelvic disruption. J Ortho Trauma 1989;3:41-7.
Miranda MA, Rieman BL, Butterfield SL, Burk CJ. Pelvic ring injuries: A long term functional outcome study. ClinOrthopRelat Res 1996;329:152-9.
Goldstein A, Phillips T, Sclafani SJ, Scalea T, Duncan A, Goldstein J et al. Early open reduction and internal fixation of the disrupted pelvic ring. J Trauma 1986; 26: 325-333.
Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg 1988; 70-B: 1-12.
Van den Bosch EW, Van der Kleyn R, Hogervorst M, Van Vugt AB. Functional outcome of internal fixation for pelvic ring fractures. J Trauma 1999; 47: 365-371.
Gruen GS, Leit ME, Gruen RJ, Reitzman AB. The acute management of haemodynamically unstable multiple trauma patients with pelvic ring fractures. J Trauma 1994;36: 706-711.
Matta JM, Saucedo T. Internal fixation of pelvic ring fractures. ClinOrthop 1989; 242: 83-97.
Lindahl J, Hirvensalo E, Böstman O, Santavirta S. Failure of reduction with an external fixator in the management of injuries of the pelvic ring. J Bone Joint Surg 1999; 81-B(6): 955-962.
Kregor PJ, Chip Routt ML. Unstable pelvic ring disruptions in unstable patients. Injury 1999; 30: B19-28.
Pohlemann T, Gansslen A, Schellwald O, CulemannU,Tscherne H. Outcome after pelvic ring injuries. Injury 1996; 27 (Suppl 2): B31-38.
Webb LX, Gristina AG, Wilson JR, Rhyne AL, Meredith JH, Hansen ST Jr. Two-hole plate fixation for traumatic symphysis pubis diastasis. J Trauma 1988; 28: 813-817.
Hirvensalo E, Lindahl J, Böstman O. A new approach to the internal fixation of unstable pelvic fractures. ClinOrthop 1993; 297: 28-32.
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