Internal fixation of unstable pelvic ring injuries.
One hundred and seven unstable pelvic fractures were treated operatively. Reductions were graded by the maximal displacement measured on the 3 standard views of the pelvis. Criteria were: excellent 4 mm or less, good 5 to 10 mm, fair 10 to 20 mm, and poor more than 20 mm. Overall there were 72 excellent, 30 good, 4 fair, and 1 poor reduction. Ninety-five percent of all reductions were excellent or good. Open reduction and internal fixation within 21 days were associated with a higher percentage of excellent reductions than in reductions performed after 21 days (70% versus 55%). These differences were not statistically significant, however. Complications were infrequent using the techniques described.
Matta
J M
JM
Hospital of the Good Samaritan, Los Angeles, CA, USA.
Tornetta
P
P
D005593:Fracture Fixation, Internal / Q000379:methods; D005596:Fractures, Closed / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000293:injuries; D004204:Joint Dislocations / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012446:Sacroiliac Joint / Q000293:injuries; D012447:Sacrum / Q000293:injuries; D016896:Treatment Outcome