Operative treatment of combined fractures of pelvic bones and lower extremities

The experience of surgical correction for combined injuries of pelvic bones and lower limbs was presented. There were 44 patients: 24 patients with acute trauma including 10 patients with injuries of the inner organs; and 20 patients with posttraumatic deformities and other sequela. Fractures of lower limbs (mainly femur and crus) were combined in 79.5% of cases with polyfocal injuries of pelvic ring and in 20.5% of cases with monofocal ones. Others’ technique of transosseous osteosynthesis for femur and crus fractures as well as closed reposition and pelvic ring stabilization was of relative simplicity and minimal trauma and allowed to perform lower limb fracrure osteosynthesis independently of the number of injured segments and fracrture number as well as to perform the operation by several teams simultaneously. Authors considered the following tactic as rational: 1) closed simultaneous reposition of pelvic ring and lower limb fractures may be performed on the day of patient’s admission; 2) delayed open surgical correction with combination of transosseous osteosynthesis may be performed simultaneously in the pelvic ring and lower limbs; 3) open surgical correction of pelvic ring and lower limbs may be performed separately and step-by-step.