2005, Number 5
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Acta Ortop Mex 2005; 19 (5)
Anterior approach for surgical treatment of rotational pelvic instability
Medina CA, Reséndiz A, Pozos E, Gómez T, Guerrero N, Nieto L, Castillo E, Almanza A
Language: Spanish
References: 17
Page: 225-230
PDF size: 139.55 Kb.
ABSTRACT
An instable pelvic ring fracture represents a severe injury and is it’s associated with high morbidity and mortality. Data available is assessing the long-term functional limitations.
Material and methods. Prospective, transversal, observational and descriptive study of 35 patients, consecutive patients with a type B fracture of pelvic ring, 35 were treated by open reduction and internal fixation, during 24 weeks follow-up.
Results. Twenty eight male (80%), 7 female (20%), the age average 32 years old. Was predominant the high energy trauma, there was rotational instability 26 of whom had type B1, 4 had type B2, and 5 had type B3, produced by high energy trauma. The pain, ambulation and muscular force acceptable outcomes. Postoperative complications were infections in 4 patients, clinical injury of L5 in 8 patients who had a completely recuperation at 24 weeks after surgery.
Discussion. Interdisciplinary team is important in the management of the pelvic trauma for reducing the mortality and morbidity. We suggest prior intervention and the rehabilitation as definitive treatment of unstable pelvic ring fractures.
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