Surgical treatment of the unstable type C pelvic injury
2013
Rotationally and vertically unstable injuries to the pelvic ring (Type C)
require stabilisation of the anterior and posterior pelvic ring complex.
Inadequate treatment of these injuries leads to chronic instability of the
pelvic ring, which can finally cause permanent disability. Open reduction and
stable internal fixation of the anterior and posterior complex of unstable
pelvic ring injuries are standard procedures in the treatment of
hemodynamically stable patients with (Type C) pelvic injuries. Our aim is to
show that this type of treatment achieves excellent and good results. All
patients were operated on using the method of open reduction and anterior
plate fixation of sacroiliac complex as well as fixation of the pubic
symphisis. We present a retrospective study of the results concerning the
treatment of 19 patients with (Type C ) unstable pelvic injuries. The average
age of the patients was 43,21 years old. The final functional results, 2
years post-surgery according to the Majeed scoring system and the results
were excellent in 11 (57.89%) and good in 8 (42.1%) patients. There were no
bad results to report. Type C pelvic ring injuries are unstable and unless
they are adequately treated, they can lead to permanent consequences.
Surgical treatment that includes open reduction and stable internal fixation
of the anterior and posterior pelvic ring complex leads to excellent and good
results. The patients that were treated surgically by fixation of the
anterior and posterior pelvic ring complex return to their everyday lives and
work activities. [Projekat Ministarstva nauke Republike Srbije, br. III41017:
Virtual human osteoarticular system and its application in preclinical and
clinical practice]
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