Internal fixation of instability pelvic fracture
A. P. Khapilin , E. I. Solod , D. A. Snetkov , M. N. Kotova , A. B. Simonov , I. K. Eremin , R. S. Shaikhutdinov , K. S. Beltikov , S. D. Postnikov , I. V. Gorelov
Journal of Clinical Practice ›› 2018, Vol. 9 ›› Issue (1) : 18 -22.
Internal fixation of instability pelvic fracture
Over the past 3 years, an analysis of surgical treatment of 48 patients with unstable fractures of pelvic bones has been performed. The study group included patients with type B3, C2, and C3 fractures according to AO classification. The average follow-up period after the operation was 1 year.
Evaluation of the results of treatment was carried out on the basis of clinical examination, the analysis of radiographs and Mattis evaluation scale. Good results (76%) were obtained in patients with pelvic fractures type B3, C2, according to the AO classification. The number of satisfactory and unsatisfactory results of 15% and 9%, respectively, was obtained in patients in the group with the heaviest damage type C3. Complications of festering, impaired stability of fixation with loss of reposition were observed in 5 people (9%), two patients from the 3rd group died.
The obtained data allows to draw a conclusion that submersible osteosynthesis using various designs performed at the earliest possible time (damage control) remains the gold standard for today in the treatment of unstable fractures of the pelvis. The greatest number of complications was observed in the group of vertically unstable fractures of the pelvis C3. The data obtained correlates to a certain extent with the data of domestic and foreign literature.
instability fracture of pelvic / osteosynthesis of pelvic / internal fixation / polytrauma
| [1] |
Лазарев А.Ф. Оперативное лечение повреждений таза. Автореф. дис д-ра мед. наук. Москва. 1992; 38. |
| [2] |
Черкес-Заде Д.И. Переломы костей таза. Руководство «Травматология и ортопедия». М. 1997; 268. |
| [3] |
T. Pohlemann [et al. ] Outcome after pelvic ring injuries // Ibid. P.31-38 |
| [4] |
Rout M.L., Simonian P.T. Internal fixation of pelvic ring disruptions // Ibid . P.20-30 |
| [5] |
O’Sullivan R.E.M, White T.O., Keating J.F. Major pelvic fractures //J. Bone Joint Surg. 2005. Vol. 87-B. P. 530-533. |
| [6] |
Tile M. Pelvic ring fractures : should they be fixed? // Ibid . 1988 Vol. 70-B, No 1. P. 1-12 |
| [7] |
Zamzam M.M. Unstable pelvic ring injuries. Outcome and timing of surgical treatment by internal fixation / M.M. Zamzan // Saudi Med.J. – 2004. – Vol. 25, N 11. – P. 1670 – 1674. |
Khapilin A.P., Solod E.I., Snetkov D.A., Kotova M.N., Simonov A.B., Eremin I.K., Shaikhutdinov R.S., Beltikov K.S., Postnikov S.D., Gorelov I.V.
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