SURGICAL TREATMENT OF VERTICALLY UNSTABLE INJURIES OF THE PELVIS (TYPE C ACCORDING АО CLASSIFICATION)

Abstract

The study is based on the analysis of the results of surgery on 34 patients with vertically unstable injuries of the pelvis at the age 16-61 operated on the period 2006-2010. Two following major methods of operative treatment were used: external fixation and combination of external and internal fixation. According to characteristics of posterior part of pelvis injuries patient were distributed as following: 19 patients with rupture of sacro-iliac joint, 15 patients with fracture of sacrum. In 18 patients injuries were associated with neuropathy of plexus sacralis. Follow-up long term results were estimated by Majeed scale. In the group of patients with vertically unstable injuries excellent results were achieved in 15 (45%) cases, good - in 10 (30%), satisfactory - in 9 (25%) patients.

References

[1] Анкин, Л.Н. Повреждения таза и вертлужной впадины / Л.Н. Анкин, Н.Л. Анкин. - Киев: Книга-плюс, 2007. - 216 с.

[2] Лазарев, А.Ф. Большие проблемы малого таза / А.Ф. Лазарев, Ю.С. Костенко // Вестн. травматологии и ортопедии им. Н.Н. Приорова. - 2007. - № 4. - С. 83-87.

[3] Черкес-Заде, Д.И. Лечение повреждений таза и их последствий / Д.И. Черкес-Заде. - М.: Медицина, 2006. - 192 с.

[4] Шлыков, И.Л. Лечение больных с двусторонними переломами таза / И.Л. Шлыков, Н.Л. Кузнецова, М.В. Агалаков // Вестн. травматологии и ортопедии им. Н.Н. Приорова. - 2010. - № 2. - С. 9-15.

[5] Tile, M. Fractures of the pelvis and acetabulum / M. Tile. - Baltimore: Williams and Wilkins; 2003. - 320 p.

[6] Moed, B.R. S2 iliosacral screw fixation for disruptions of the posterior pelvic ring: a report of 49 cases / B.R. Moed, B.L. Geer // J. Orthop.Trauma. - 2006. - Vol. 20. - P. 378 - 383.

[7] Majeed, S. Neurologic deficits in pelvic injuries / S. Majeed // Clin. Orthop. - 1992. - N. 282. - Р. 222 - 228.