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[Results of dorsal pelvic ring stabilization]
H Rieger1, S Winckler, W Klein
1Klinik für Unfall- und Handchirurgie, Westfälische Wilhelms-Universität Münster.
Der Unfallchirurg
|July 1, 1993
Summary
Operative treatment for complete posterior pelvic ring disruptions, often caused by multiple trauma, showed significant mortality and complication rates. Surgical stabilization with lag screws resulted in persistent pain and functional deficits in many survivors.
Area of Science:
- Orthopedics
- Trauma Surgery
- Pelvic Fractures
Background:
- Complete disruptions of the posterior pelvic ring are severe injuries, classified as Type C by Tile/AO (ASIF), necessitating operative intervention.
- These injuries are frequently associated with multiple trauma, significantly increasing patient complexity and risk.
Purpose of the Study:
- To analyze the outcomes and complications of operative treatment for complete posterior pelvic ring disruptions.
- To evaluate the effectiveness of surgical stabilization using lag screws in a cohort of trauma patients.
Main Methods:
- Retrospective analysis of 24 patients treated over a 5-year period.
- Surgical stabilization primarily involved lag screws placed from the ilium into the sacrum.
- Clinical and radiological follow-up averaged 27.5 months post-injury for survivors.
Main Results:
- High mortality rate of 16.7% (4 patients).
- Significant complication rate including venous thrombosis, hardware issues requiring revision surgery, wound healing problems, and pelvic ring deformities.
- Among survivors, 9 patients reported low back pain, 8 had gait disturbances, and 5 were unable to work.
Conclusions:
- Operative management of complete posterior pelvic ring disruptions carries substantial morbidity and mortality.
- Lag screw fixation can lead to complications and suboptimal functional outcomes, highlighting the severity of these injuries.