The Outcome of Complex Pelvic Fracture after Internal Fixation Surgery
- Author:
Ismail HD
;
Lubis MF
;
Djaja YP
- Publication Type:Journal Article
- Keywords:
Pelvic fracture;
outcome unstable pelvic fracture
- MeSH:
Fractures, Bone
- From:Malaysian Orthopaedic Journal
2016;10(1):16-21
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Complex pelvic fracture, which has a very
high mortality and even higher morbidity, needs internal
fixation surgery as an integral part for its management. It was
necessary to conduct a study regarding outcome of complex
pelvic fractures after internal fixation surgery.
Material & Method: Twenty-six patients with complex
pelvic fractures that had been treated with internal fixation
surgery during 2011-2014 were enrolled. These patients had
an open pelvic fractures or Tile type B or C pelvic fracture
who had undergone internal fixation surgery with at least 6
months follow-up. Evaluation of the morbidity and
functional scoring was performed using Majeed and
Hannover Score.
Results and Discussions: Average of age was 31 years old
and follow up time was 25 months. There were 7 patients
with open pelvic fracture and 19 with closed fracture.
Excellent Majeed Score were found on 78.6% cases in Tile
B fractures and 50% in Tile C. Good Hannover Score was
found in 64.3% Tile B cases and 80% Tile C cases. Fracture
type was statistically insignificant with acquired sexual
dysfunction (p>0.05), but significant with the chronic pain
(p=0,.017). We also found that urogenital injury is associated
with sexual dysfunction (p=0.005).
Conclusions: The outcome of complex pelvic fracture after
internal fixation surgery was excellent. More than 90%
patients got an excellent and good result on Majeed Score,
and also very good and good result on Hannover Score.
- Full text:P020160712483491721939.pdf
