title: Surgical treatment of the unstable type C pelvic injury.
abstract: Rotationally and vertically unstable injuries to the pelvic ring (Type C) require stabilisation of the anterior and posterior pelvic ring complex. Inadequate treatment of these injuries leads to chronic instability of the pelvic ring, which can finally cause permanent disability. Open reduction and stable internal fixation of the anterior and posterior complex of unstable pelvic ring injuries are standard procedures in the treatment of hemodynamically stable patients with (Type C) pelvic injuries. Our aim is to show that this type of treatment achieves excellent and good results. All patients were operated on using the method of open reduction and anterior plate fixation of sacroiliac complex as well as fixation of the pubic symphisis. We present a retrospective study of the results concerning the treatment of 19 patients with (Type C) unstable pelvic injuries. The average age of the patients was 43,21 years old. The final functional results, 2 years post-surgery according to the Majeed scoring system and the results were excellent in 11 (57.89%) and good in 8 (42.1%) patients. There were no bad results to report. Type C pelvic ring injuries are unstable and unless they are adequately treated, they can lead to permanent consequences. Surgical treatment that includes open reduction and stable internal fixation of the anterior and posterior pelvic ring complex leads to excellent and good results. The patients that were treated surgically by fixation of the anterior and posterior pelvic ring complex return to their everyday lives and work activities.
authors.affiliation: University of Nis, Medical faculty of Nis, Orthopaedic & Traumatology Clinic Nis, Serbia.
authors.forename: Sasa
authors.initials: S
authors.lastname: Milenković
authors.forename: Milorad
authors.initials: M
authors.lastname: Mitković
authors.forename: Jordan
authors.initials: J
authors.lastname: Saveski
authors.forename: Ivan
authors.initials: I
authors.lastname: Micić
authors.forename: Milan
authors.initials: M
authors.lastname: Mitković
authors.forename: Sonja
authors.initials: S
authors.lastname: Stamenić
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D012446:Sacroiliac Joint / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult