SURGICAL TREATMENT OF OLD PELVIC INJURIES

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Chronic pelvic injuries present complex treatment challenges.
• Previous treatments like conservative stabilization, external fixation, or failed internal fixation were analyzed.
• Patients with unconsolidated, malunited, or pseudoarthrosis pelvic lesions require advanced surgical intervention.

Purpose of the Study:

• To evaluate the efficacy of surgical reconstruction for chronic pelvic fractures.
• To assess functional outcomes and complication rates associated with surgical treatment.
• To determine the impact of surgical intervention on patient health and quality of life.

Main Methods:

• Retrospective analysis of 43 patients with chronic pelvic injuries treated between 2010-2019.
• Injury classification using AO and Pohlemann systems; preoperative planning with CT scans.
• Functional outcomes assessed using the Majeet system; long-term results analyzed.

Main Results:

• Anatomical or satisfactory reduction achieved in 88.4% of surgical cases.
• Excellent and good results reported in 56.4% of patients post-surgery.
• Significant improvements observed in qualitative health (74.4%) and functional scores (24-46 points).

Conclusions:

• Surgical treatment of chronic pelvic fractures offers significant functional and health improvements.
• Reconstruction is effective for unconsolidated, malunited, and pseudoarthrosis pelvic lesions.
• While complications like wound inflammation occurred, overall outcomes were positive.