Immediate Stabilization by External Fixator in Unstable Fractures of the Pelvis : Results in 214 Patients

Authors

  • Saranatra Waikakul Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Tossas Harnrungroj Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Vichai Vanadurongwan Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Keywords:

Pelvic fracture, External fixator

Abstract

This is the report of our experience in 214 patients with unstable fracture of the pelvis. External fixators could be used as definitive fracture management in 72 patients (35%), and combined with open reduction and internal fixation in 91 patients (45%). After external fixation of the pelvic ring, only 10/94 patients (11%) who had associated acetabular fractures still required open reduction and internal fixation of the acetabulum. External fixation can reduce the need for operations in patients with unstable fracture and acetabular involvement. This data provided encouraging results of external fixation on reconstructive surgery of pelvic and acetabular fractures with low levels of complications.

References

1. Alonso JE. Lee J. Burgess AR. Browner BP. The management of complex orthopaedic injuries. Surg Clin North Am 1996 Aug: 76(4) : 879-903

2. Browner BP. Cole JD. Initial management of pelvic ring disruption. Instructional Course Lecture 1988: 37:129-37

3. Pohlemann T, Tscherne H. Baumgortel F, Egbers HU. Evler E. Maurer F. Fell M, Mayr E, Quirini WW, Schlickewei W. Weinberg A. Pelvic fractures : epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvic Study Group. Unfallchirug 1996 Mar. 99(3) : 160-7

4. Riemer BL, Butterfield SL, Diamond DL. Young JC. Raves Ju. Cottingtion E. Kislan K. Acute mortality associated with injuries to the pelvic ring: the role of early patient mobilization and external fixation. J Trauma 1993 Nov: 35(5) : 671-51

5. Agnew SG. Hemodynamically unstable pelvic fractures. Orthop Clin North Am 1994 Oct: 25(4) :715-21

6. Draijer F, Egbers HJ, Havemann D, Zimmermann M. Results of follow-up of conservatively and surgically treated injuries of the pelvic ring within the scope of a prospective study. Unfallchirug 1995 Jul; 98(7) : 355-60

7. Ghanayem AS. Stover MD, Goldstein JA, Bellon E, Wilber JH. Emergent treatment of pelvic fracture. Comparison of methods for stabilization. Clin Orthop 1995 Sep; 318:75-80

8. Ganz R. Krushell RJ. Jakob RP, Kuffer J. The antishock pelvic clamp. Clin Orthop 1991 Jun; 267 : 71-8

9. Tillman RM. Kenny NW. Small bowel obstruction as a complication of the use of an external fixator in a pelvic fracture. Injury 1991 Jan: 22(1) : 71-2

10.Pohlemann T, Bosch U. Gansslen A, Tscherne H. The Hanover experience in management of pelvic fractures. Clin Orthop 1994 Aug: 305 : 69-80

Downloads

Published

1997-06-30

How to Cite

1.
Waikakul S, Harnrungroj T, Vanadurongwan V. Immediate Stabilization by External Fixator in Unstable Fractures of the Pelvis : Results in 214 Patients. Thai J Surg [Internet]. 1997 Jun. 30 [cited 2024 May 4];18(2):69-5. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250049

Issue

Section

Original Articles