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ORIGINAL ARTICLE
Year : 2017  |  Volume : 52  |  Issue : 2  |  Page : 139-143

Posterior pelvic plating in the treatment of tile type C unstable pelvic injuries: a prospective study


1 Royal National Orthopaedic Hospital, Stanmore; Department of Orthopaedics, University of Alexandria, Alexandria, UK
2 Department of Orthopaedics, University of Alexandria, Alexandria, Egypt

Correspondence Address:
Abdullah Hammad
1201, Alkarnak Building No. 2, Fleming Tram Station, 37 Alfateh Street, Alexandria, 21531
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eoj.eoj_31_17

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Introduction Unstable pelvic ring disruptions result from high-energy trauma and are often associated with multiple concomitant injuries. Internal fixation has become the preferred treatment for unstable posterior pelvic ring injuries. Several methods of fixation of posterior pelvic injuries have been described, including anterior pelvic plating, posterior sacroiliac plating, lumbopelvic fixation, and percutaneous fixation with iliosacral screws. Aim The aim of this study was to report on the clinical and radiological results of plate osteosynthesis for fixing posterior pelvic injuries in Tile’s C completely unstable pelvic ring injuries. Patients and methods This study involved 21 patients with Tile type C pelvic injuries who had their posterior injuries fixed by plate osteosynthesis. The mean duration of postoperative follow-up was 25.29±9.93 (13–48) months. The clinical outcome was assessed with postoperative Majeed’s score and the rate of postoperative complications. The radiological outcome was assessed through the measurement of posterior displacement as per the method of Matta and Tornetta. Results The mean±SD postoperative Majeed score was 76.57±11.21. There was a statistically significant improvement in the postoperative vertical displacement of the posterior injury (P<0.001). The incidence of postoperative complications was 38.1%. Conclusion Pelvic plating is an effective procedure in the management of completely unstable posterior pelvic ring injuries. The treatment of these complex injuries is associated with a relatively high incidence of postoperative complications.


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