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Evaluation of Functional Outcome of Open Reduction and Internal Fixation of Pelvic Ring Fractures | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 12, Issue 4, 2013, Pages 534-540 PDF (0 K) | ||
| Author | ||
| Adnan H.Hnoosh | ||
| Abstract | ||
| ABSTRACT: BACKGROUND : 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). OBJECTIVE: 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. RESULTS : 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. CONCLUSION: Early ORIF of unstable fracture of pelvic ring is recommended. | ||
| Keywords | ||
| pelvic ring fracture; open reduction; majeed scale | ||
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