[Fracture-dislocation of pelvis in the adult female: clinical analysis of 105 cases].
Pelvic fractures with or without dislocation in 105 females, aged above 15 years, were studied. 47.6% of the fractures was through the antero-posterior ring. Among the complications, genital organ injury happened in 15 patients (14.5%): rupture of uterus in 5 (3 wombs conceived over 3 mon, 1 in period of nursing, 1 in normal state), rupture of ovary in 2, rupture of ovarian tube in 1 and laceration of vagina in 7. They were treated accordingly in urgent need. Follow-up of 1 to 5 years, averaging 5.3 years, showed various sequelae related to original pelvic trauma, of which accounts were given. It is worthy to emphasize that 45 of 75 patients (60%), who had become pregnant later, experienced dystocia due either to deformed pelvis or contracted vagina. 30 of the 45 patients had to undergo cesarean section. 15 other patients (14.3%) became barren following pelvic trauma, though they expected to be mother. Causes of the secondary sterility were discussed. Some patients experienced difficulty in sexual activity because of spoiled vagina, being involved by displaced bone fragment intrusion or by cicatricial contracture of itself. In short, in view of obstetrics, displaced pelvic fracture--dislocation should be reduced early following resuscitation of the patient, and be maintained steady by traction until union or by internal fixation if needed.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D004420:Dystocia / Q000209:etiology; D005260:Female; D050723:Fractures, Bone / Q000209:etiology; D005836:Genitalia, Female / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D011247:Pregnancy