Main Article Content
Aim: The present study was aimed to analyze the mode of injury, different type of fractures and associated injuries in patients with unstable pelvic fractures who are later managed by surgical interventions.
Materials and Methods: The study involved 21 cases of unstable pelvic injuries (Tile type B and C) managed surgically patients.
Results: The result showed that out of 21 patients, 6 patients (28.6%) had associated skeletal and/or soft tissue injuries. Of which 9.4% (n=2) patients had nerve injury. Despite aggressive resuscitation including application of external fixators, the mortality of 10-20% remain unchanged.
Conclusion: Anatomic reduction and internal fixation of unstable pelvic injuries gives excellent stability, allows for early mobility with good functional outcome.
Routt ML Jr., Nork SE, Mills WJ. High-energy pelvic ring disruptions. Orthop Clin North Am. 2002;33:59-72.
Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: Effective classification system and treatment protocols. J Trauma. 1990;30:848-856.
Krieg JC, Mohr M, Ellis TJ, Simpson TS, Madey SM, Bottlang M. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: A clinical trial. J. Trauma. 2005;59:659–664.
Moed BR, Karges DE. Techniques of reduction and fixationof pelvic ringdisryuptions through the posterior approach. Clin Orthop. 1996;329:102-114.
Giannoudis PV, Grotz MR, Tzioupis C, Dinopoulos H, Wells GE, Bouamra O, Lecky F. Prevalence of pelvic fractures, associated injuries, and mortality: The United Kingdom perspective. J. Trauma. 2007;63:875.
Khurana B, Sheehan SE, Sodickson AD, Weaver MJ. Pelvic ring fractures: What the orthopedic surgeon wants to know. Radiographics. 2014;34(5):1317-1333.
Chueire AG, Filho GC, Santos AF, Pocket KP. Fraturas do anel pélvico: Estudo epidemiológico. Acta Ortop Bras. 2004; 12(1):1–10.
Freitas CD, Garotti JER, Nieto J, Guimarães RP, Ono NK, Honda E. Houve mudanças na incidência e na epidemiologia das fraturas do anel pélvico nas últimas décadas? Rev Bras Ortop. 2013;48(6):475–481.
Devarinos N, Ellanti P, Morris S, McElwain JP. Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: A 10-year experience. Ir J Med Sci. 2012; 181(2):243–246.
Tile M. Pelvic ring fractures: Should they be fixed. J Bone Joint Surg Br. 1988; 70(1):1–12.