Abstract Issue

Volume 4 Issue 4 (October 2015)

Original Articles

Assessment of functional outcome of pelvic fractures treated with external fixator
Harish Kumar, K.P. Panday

Background: Pelvic fractures involve the breaking of one or more bones in the pelvis, which includes the ilium, ischium, pubis, and sacrum. Numerous methods for stabilizing pelvic fractures have been proposed; nevertheless, external fixation has revolutionized the way poly trauma sufferers are managed. External fixation is not the only resuscitation technique that significantly changes the survival rate. Given that stabilizing pelvic fractures lessens bleeding. Aim and Objectives: The present study was conducted to assess functional outcome of pelvic fractures treated with external fixator. Materials and Methods: The present observational study was conducted on 80 patients with pelvic fractures of both genders and managed with external fixator. Parameters such as time since injury, type of fracture, associated injuries, complications and functional outcome were recorded. Results: Out of 80 patients, males were 52 and females were 28. Type of fracture was type A in 55 and type B in 25. Time since injury was 1-2 hrs in 62, 2-4 hrs in 14 and 4-6 hrs in 4 cases. Associated injuries were liver laceration in 5, rt patella tendon rupture in 8 and urethral injury in 2 cases. Functional outcome was excellent in 48, good in 30, and fair in 2 cases. The difference was significant (P< 0.05). Conclusion: External fixator for fracture pelvis is a simple and minimally invasive method and can be readily applied even under local anesthesia.

 
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