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Post a Comment Internal fixation of instability pelvic fracture
- Authors: Khapilin A.P.1, Solod E.I.2, Snetkov D.A.1, Kotova M.N.1, Simonov A.B.1, Eremin I.K.1, Shaikhutdinov R.S.1, Beltikov K.S.1, Postnikov S.D.1, Gorelov I.V.1
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Affiliations:
- Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
- Central Research Institute of Traumatology and Orthopedics named after N.N. Priorov
- Issue: Vol 9, No 1 (2018)
- Pages: 18-22
- Section: Original Study Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/10768
- DOI: https://doi.org/10.17816/clinpract09118-22
- ID: 10768
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Abstract
Over the past 3 years, an analysis of surgical treatment of 48 patients with unstable fractures of pelvic bones has been performed. The study group included patients with type B3, C2, and C3 fractures according to AO classification. The average follow-up period after the operation was 1 year.
Evaluation of the results of treatment was carried out on the basis of clinical examination, the analysis of radiographs and Mattis evaluation scale. Good results (76%) were obtained in patients with pelvic fractures type B3, C2, according to the AO classification. The number of satisfactory and unsatisfactory results of 15% and 9%, respectively, was obtained in patients in the group with the heaviest damage type C3. Complications of festering, impaired stability of fixation with loss of reposition were observed in 5 people (9%), two patients from the 3rd group died.
The obtained data allows to draw a conclusion that submersible osteosynthesis using various designs performed at the earliest possible time (damage control) remains the gold standard for today in the treatment of unstable fractures of the pelvis. The greatest number of complications was observed in the group of vertically unstable fractures of the pelvis C3. The data obtained correlates to a certain extent with the data of domestic and foreign literature.
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##article.viewOnOriginalSite##About the authors
A. P. Khapilin
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Author for correspondence.
Email: Khap-anton@yandex.by
заведующий отделением ортопедии и реконструктивной хирургии суставов ФНКЦ ФМБА России
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682E. I. Solod
Central Research Institute of Traumatology and Orthopedics named after N.N. Priorov
Email: doctorsolod@mail.ru
доктор медицинских наук, профессор кафедры травматологии и ортопедии РУДН; ведущий научный сотрудник отделения неотложной травматологии ЦИТО
Russian Federation, 10, Priorova str., Moscow, 125299D. A. Snetkov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: sda-bp@rambler.ru
Снетков Дмитрий Андреевич – кандидат медицинских наук,врач отделения ортопедии и реконструктивной хирургии суставов ФНКЦ ФМБА России
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682M. N. Kotova
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: drgrind@gmail.com
врач отделения ортопедии и реконструктивной хирургии суставов ФНКЦ ФМБА России
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682A. B. Simonov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: dr.simonov@gmail.com
врач отделения ортопедии и реконструктивной хирургии суставов ФНКЦ ФМБА России
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682I. K. Eremin
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: Eremindoctor@yandex.ru
заведующий отделением травматологии и ортопедии Клинической больницы №1 Медси
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682R. S. Shaikhutdinov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: rudolph82@mail.ru
врач отделения травматологии и ортопедии Клинической больницы №1 Медси
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682K. S. Beltikov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: konstantinbeltikov@gmail.com
врач отделения травматологии и ортопедии Клинической больницы №1 Медси
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682S. D. Postnikov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: sergey.postnikoff@yandex.ru
врач отделения травматологии и ортопедии Клинической больницы №1 Медси
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682I. V. Gorelov
Federal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology Agency
Email: drgorelov77@gmail.com
кандидат медицинских наук, врач отделения ортопедии и реконструктивной хирургии суставов ФНКЦ ФМБА России
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682References
- Лазарев А.Ф. Оперативное лечение повреждений таза. Автореф. дис д-ра мед. наук. Москва. 1992; 38.
- Черкес-Заде Д.И. Переломы костей таза. Руководство «Травматология и ортопедия». М. 1997; 268.
- T. Pohlemann [et al. ] Outcome after pelvic ring injuries // Ibid. P.31-38
- Rout M.L., Simonian P.T. Internal fixation of pelvic ring disruptions // Ibid . P.20-30
- O’Sullivan R.E.M, White T.O., Keating J.F. Major pelvic fractures //J. Bone Joint Surg. 2005. Vol. 87-B. P. 530-533.
- Tile M. Pelvic ring fractures : should they be fixed? // Ibid . 1988 Vol. 70-B, No 1. P. 1-12
- Zamzam M.M. Unstable pelvic ring injuries. Outcome and timing of surgical treatment by internal fixation / M.M. Zamzan // Saudi Med.J. – 2004. – Vol. 25, N 11. – P. 1670 – 1674.
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