| Autor: |
Abdallah, Mustafa Ali Maher, Elngehy, Alaa Ahmed Mostafa, Abdelrahman, Khaled Idris, Khira, Yosef Mohammed |
| Předmět: |
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| Zdroj: |
Zagazig University Medical Journal; 2023 Supplement, Vol. 29, p113-118, 6p |
| Abstrakt: |
Background: Crescent fractures Sacroiliac result in a rotationally unstable hemipelvis with many complications, they are characterized by the disruption of the sacroiliac joint and extend proximally as a fracture of the posterior iliac wing. Operative intervention is recommended for the anatomical reduction and stable fixation of a crescent fracture-dislocation to restore the normal anatomy. This work aims at assessing the outcome of the surgical reduction and fixation of different types of crescent fracture with follow up for one year. Methods: Our prospective study was conducted involving 24 cases with crescent pelvic fracture. All patients were operated at Zagazig University Hospitals. All cases were surgically managed by reduction of the fractures and internal fixation either by reconstruction plates, iliosacral screws or LC-II screws. Posterior internal fixation alone was used in 13 cases, and a combination of anterior and posterior fixation was done in 11 cases. Results: Our results revealed radiologically 21 patients were excellent, three were good according to Tornetta and Matta [8] score. Two patients complained of pain post-operatively, the same two patients had moderate ambulation problems. The postoperative infections were present in two cases. The mean Majeed score one year post-operatively was 90.7/100 for the 15 working patients, and 68/80 for the 11 non-working patients. Conclusion: Early and anatomic reduction and fixation of crescent fracture dislocation is needed to improve results of management of this injury. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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