Department of Orthopedics, Centro Hospitalar Vila Nova de Gaia/Espinho, PortugalFulltext PDF
Introduction: Pelvic Fractures are usually associated with high intensity trauma, as those seen in traffic accidents. These patients present at emergency department as polytrauma and unstable pelvic fractures which has a very high mortality and even higher morbidity. Internal fixation surgery in anintegral part for its management allows for a better outcome.
Material and Methods: Fifteen patients with unstable pelvic fractures after traffic accidents, treated with internal fixation surgery between 2012 to 2018 were retrospectively reviewed. Every patient had a Tile B or Tile C fracture and was followed up at a minimum of 6 months. The outcome was performed according to Survey form 36v2, Majeed pelvic score, Iowa pelvic score, Pain Visual analog score.
Results and Discussion: The average age was 48 years old and a mean follow up time of 30 months. Sixty percent had a Tile C fracture and the mean time between admission and discharge was 31 days. The mean time between admission and surgery was 13 days. Seven patients were female and 8 patients were male. The main cause of the fracture and run over accidents and motorcycle accidents. The mean score for physical SF36v2 was 60% and emotional SF36v2 was 54%. The mean VAS pain score was 3.7/10 and more than half didn’t limp at final observation. The mean Majeed pelvic score was 81% and Iowa pelvic score was 70.5%.
Conclusion: The outcome of unstable pelvic fracture after internal fixation was very good with a Majeed pelvic score of 81%.
Pelvic Fracture; Outcome unstable pelvic fracture; RTS; ISS
Portela R. Outcome of Unstable Pelvic Fractures after Internal Fixation: Our Experience. Ann Orthop Musculoskelet Disord. 2019;2(1):1023.