[Reconstruction of the unstable pelvic fractures].
OBJECTIVE
To investigate the clinical characteristics of unstable pelvic fractures and to find out an alternative for the treatment.


METHODS
From October 2000 to June 2004, fifty-six patients with unstable pelvic fractures were treated by open reduction and pelvic-reconstructed plate fixation to recover the anatomical structure of pelvis and acetabulum. According to Tile classification, 33 cases were type B (15 cases were Tile B1, 11 cases were Tile B2, 7 cases were Tile B3); 23 cases were type C (10 cases were Tile C1, 8 cases were Tile C2, 5 cases were Tile C3).


RESULTS
The 56 cases were followed up 12 to 68 months (26 months in average). All cases with fractures got healed during 3 to 6 mouths. According to the Majeed evaluation, 40 cases were excellent, 11 cases were good, 4 cases were fair, and only one case was a failure. The rate of excellence and goodness was 91.07%. The pelvic abnormality was rectified; partial patients felt light pain in iliac scar.


CONCLUSIONS
The choice of the proper operative approach and pelvic-reconstructed plate fixation by allowing for fracture classification is a good and dependable means for treating unstable pelvic fractures.
Huang
Ao
A
Department of Orthopaedics, Second Hospital of Ningbo, Ningbo Zhejiang, 315010, P. R. China. zjnbhuangtao@126.com
Pang
Qingjiang
Q
Zhang
Qianfa
Q
D000077:Acetabulum / Q000293:injuries; D000328:Adult; D001860:Bone Plates; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D016896:Treatment Outcome; D055815:Young Adult