Treatment of open pelvic fracture concomitant with perineal laceration using external fixation combined with limited percutaneous internal fixation plus colostomy

VernacularTitle:外固定支架下经皮有限内固定加肠造瘘术治疗开放性骨盆骨折伴盆底撕裂伤
Author: Xiaoshan GUO ; Chengdi SHI ; Junwu HUANG ; Lei YANG ; Jianzhong KONG
Publication Type:Journal Article
Keywords: Pelvis; Fracture fixation; Colostomy
From: Chinese Journal of Trauma 2011;27(4):304-306
CountryChina
Language:Chinese
Abstract: Objective To introduce the methods and key points for the external fixation combinel with limited percutaneous internal fixation plus colostomy in the treatment of open pelvic fracture concomitant with perineal laceration.Methods Nine patients with open pelvic fractures concomitant with perineallaceration were treated by external fixator combined with limited percutaneous internal fixer plus colostomy. Data including injury details, management and outcomes were collected for comparison.Results All the patients survived and attained bony union except for two patients with local infection that was healed several days after repeated wound debridement and use of wide spectrum antibiotics. All the patients had good extremity function at the latest follow-up. Conclusion External fixation combined with limited percutaneous internal fixation plus colostomy is a reliable, safe and less invasive procedure for the treatment of open pelvic fractures concomitant with perineal open wound.