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Year : 2017  |  Volume : 52  |  Issue : 1  |  Page : 72-77

Functional outcome of pelvic fractures in children: does age affect outcome?

Department of Orthopedic Surgery, Cairo University Hospital, Kasr Alaini, Egypt

Correspondence Address:
Sherif A Khaled
18 Omar Ibn El Khattab Street, Dokki, Giza, 12311
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eoj.eoj_39_17

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Objective The objective of this study was to assess the early radiological and functional outcome of either conservatively or surgically treated pediatric pelvic fractures. Patients and methods This was a prospective study of pediatric patients with pelvic fractures resulting from high-energy trauma. Management was either conservative or surgical. Score-based functional outcome assessment was done. Results A total of 30 patients were enrolled in the study. Of them, 20 patients were managed conservatively and 10 patients were surgically treated. We had three mortality cases. The mean follow-up period was 9 months. Functional outcome score was 74 for conservative and 70 after operative treatment according to Majeed score. Limb-length discrepancy, back pain, skin macerations, infection, and nerve injury were the encountered complications. Conclusion Pediatric pelvic fractures classified as Tile A or B can be successfully managed conservatively. All vertically unstable fractures should be reduced and fixed as the pediatric pelvis has a very limited remodeling power for this type of fracture.

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