title: [Treatment of open tile type C pelvic fractures by open reduction and internal fixation through anterior and posterior approaches at early stage].
abstract: OBJECTIVE
  To explore the effectiveness of open reduction and internal fixation through anterior and posterior approaches in treatment of open Tile type C pelvic fractures at early stage.
  
  
  METHODS
  Between January 2009 and April 2012, 12 patients with open Tile C pelvic fractures were treated. There were 7 males and 5 females, aged 6-53 years (median, 31 years). Of 12 cases, 4 were classified as Tile type C1, 6 as Tile type C2, and 2 as Tile type C3; 5 were rated as Gustilo type II and 7 as Gustilo type III. The injury severity score was 18-57 (mean, 37.2). The interval of injury and admission ranged from 15 minutes to 3 days (median, 50 minutes). The debridement and external fixation were performed at first stage; then open reduction and internal fixation were used through anterior approach (reconstruction plate) and posterior approach (cannulated lag screws). The vacuum sealing drainage was performed during treatment until the wounds healed.
  
  
  RESULTS
  Delayed healing of incison was obtained in 12 cases because of wound infection. Anatomical reduction or approximate anatomical reduction was achieved in all 12 cases. The patients were followed up 3-39 months (median, 18 months). No loosening of internal fixation or fracture displacement was observed during follow-up. The fracture healing time was 7-13 weeks (mean, 9.7 weeks). At last follow-up, according to the Matta standard, the outcome was excellent in 10 cases and good in 2 cases; according to Majeed score, the results were excellent in 9 cases, good in 1, and poor in 2.
  
  
  CONCLUSIONS
  Early internal fixation operation of open Tile type C pelvic fractures can effectively restore the pelvic anatomical structure and stability, reduce the complication, and achieve satisfactory effectiveness.
authors: Baichuan
authors: B
authors: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D002648:Child; D003646:Debridement; D005260:Female; D005592:Fracture Fixation; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000151:congenital; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D021782:Multicystic Dysplastic Kidney; D019838:Neck Injuries; D010384:Pelvic Bones / Q000293:injuries*; D016103:Spinal Fractures; D016896:Treatment Outcome; D014517:Ureteral Obstruction; D014946:Wound Infection