Analysis Of The Efficacy Of Surgical Treatment Of Unstable Pelvic Fracture

Objective:To study the different surgical methods for unstable pelvic fractureanalysis.Method:retrospective study of29cases from January2009to December2012inour hospital for surgical treatment of unstable pelvic fracture patients, therewere21male and8female patients, Average age of44.7years (21to68yearsold). Mechanism of injury:23cases of traffic injuries, four cases of altitude fallinjury, two cases of crush injury;12patients with acetabular fractures in16patients with injured patients,9patients with lower extremity fractures, fourpatients with head injury8patients with chest injuries,3patients withabdominal injuries,2patients with spinal fractures,1patient with urethralinjury. According to Tile typing:type B have8cases, including4cases of typeB1,2cases of type B2,2cases of type B3; type C have21cases, including5cases of type C1,2cases of type C2,14cases of type C3.7patients withacetabular fractures. Surgical approach include: combined surgical approachbefore and after6cases,18cases of ilioinguinal the front side of the surgicalapproach, the cases of the rear of the sacroiliac joint surgical approach, fivecases of pubic symphysis middle of The surgical approach to the applicationthe Majeed score reset efficacy of pelvic fracture line evaluation.Results:29patients after surgery were followed up for10months to36months, anaverage of21months, the operation time60~430min, average210min, blood transfusion300~2700mL, an average of700ml, within six months after thefractures healed0iatrogenic nerve injury,29patients without fixation failure.Patients were Majeed Grading: Excellent:17cases, good in:9cases, in which:three cases, difference:0cases, average83.1(63-100points), good rate:89.7%.Conclusion:High-energy trauma patients with pelvic fractures caused by unstable pelvicfractures accounted for13%to17%, which is part of the patient’s bleeding andmortality is high, both for vertical and rotational unstable pelvic fracturesshould be the preferred surgical treatment to restore mechanical stability andpelvic anatomy, thereby improving the unstable pelvic fracture and functionalprognosis, reduce complications, morbidity and mortality, the necessarypreoperative examination of pelvic fracture parting provide strong evidence toimprove prognosis of patients with pelvic fracture pelvic fracture is the key toclear the extent of the patient’s injury and type, select the appropriate surgicalapproach and fixation methods.