[Reconstruction of the unstable pelvic fractures].

Autor:	Huang A; Department of Orthopaedics, Second Hospital of Ningbo, Ningbo Zhejiang, 315010, P. R. China. zjnbhuangtao@126.com, Pang Q, Zhang Q
Jazyk:	čínština
Zdroj:	Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery [Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi] 2005 Jul; Vol. 19 (7), pp. 554-7.
Abstrakt:	Objective: To investigate the clinical characteristics of unstable pelvic fractures and to find out an alternative for the treatment. Methods: From October 2000 to June 2004, fifty-six patients with unstable pelvic fractures were treated by open reduction and pelvic-reconstructed plate fixation to recover the anatomical structure of pelvis and acetabulum. According to Tile classification, 33 cases were type B (15 cases were Tile B1, 11 cases were Tile B2, 7 cases were Tile B3); 23 cases were type C (10 cases were Tile C1, 8 cases were Tile C2, 5 cases were Tile C3). Results: The 56 cases were followed up 12 to 68 months (26 months in average). All cases with fractures got healed during 3 to 6 mouths. According to the Majeed evaluation, 40 cases were excellent, 11 cases were good, 4 cases were fair, and only one case was a failure. The rate of excellence and goodness was 91.07%. The pelvic abnormality was rectified; partial patients felt light pain in iliac scar. Conclusion: The choice of the proper operative approach and pelvic-reconstructed plate fixation by allowing for fracture classification is a good and dependable means for treating unstable pelvic fractures.
Databáze:	MEDLINE
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