Surgical management of fracture pelvis in skeletally immature patients

Document Type : Original Article

Author

Orthopedic, faculty of medicine, Zagazig university

Abstract

Introduction: Despite pelvic fractures in pediatrics are rare, they are potentially life-threatening injuries and may cause significant long term complications. . There are many debates in the literature about the best method for management of fracture pelvis in skeletally immature patients
Objective: Evaluation both clinical and radiological outcomes after surgical intervention for unstable fracture pelvis in skeletally immature patients.
Methods: 24 skeletally immature patients with minimum 4 and maximum 14 (Mean± SD) was 8.25±2.86. Male were 16 patients (66.7%) and females were 8 patients (33.3%). The most common trauma mechanism was pedestrian injury [11 cases=45.8%] followed by motor vehicle accident [7 cases=29.1%] then crush injury 3 cases=12.5%] and fall from height [3 cases=12.5%]. According to Tile classification 18 patients having fracture pelvis Tile’s type B [75%] and 6 having Tile’s type C injuries [25%].
Results: The radiological union distribution among studied group was minimum 6 weeks and maximum 10 weeks (Mean± SD) was 6.95±1.04. Majeed score distribution among studied group was significantly increased. Majeed score was at 3 months 63.0±5.56, at 6 months was 73.66 ± 3.42 and at last follow up 75.25±2.51 (P

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Zagazig University Medical Journal
Volume 30, Issue 1.2
January and February 2024
Pages 138-148

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