Evaluation of Functional Outcome of Open Reduction and Internal Fixation of Pelvic Ring Fractures
Iraqi Postgraduate Medical Journal,
2013, Volume 12, Issue 4, Pages 534-540
Unstable pelvic ring fracture (PRF) constitute 17 – 23% of pelvic fracture , it occurs as a high – energy injuries , and usually associated with multiple concomitant injuries. The mortality has been reported between 18 – 25%. Conservative treatment carries a high rate of complication. Recent studies recommended surgical stabilization by open reduction and internal fixation (ORIF).
Evaluate the functional outcome, morbidity and mortality rate in the patients treated by anterior and posterior fixation of (PRF).
PATIENTS AND METHODS:
This is a prospective study on 23 patients sixteen male and seven female , age range 18 – 50 years with unstable PRF were operated upon by (ORIF) , there were 12 patients with sacro – iliac joint (SIJ) dislocation and 8 patients with SIJ fracture – dislocation , three with sacral fracture , various implants used for stabilization assessment of the outcome based on patients oriented score of Majeed scale , follow up period range 14 – 37 months postoperatively.
The functional outcome were as follow using Majeed's scale as excellent in 12 patients (52%) good in 5 (21%) and moderate in three (13%) and poor in one ( 4.7%) . Two patients died during follow up period (8.6%). There was statistical significant relation between the severity of injury and low grade outcome.
Early ORIF of unstable fracture of pelvic ring is recommended.
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