Operative Treatment of Symphyseal Disruption.
- Author:
Byung Woo MIN
1
;
Si Hyun JEON
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Keimyung University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Pelvic injury;
Symphyseal disruption;
Open reduction and internal fixation
- MeSH:
Aged;
Humans;
Leg;
Osteoporosis;
Retrospective Studies
- From:The Journal of the Korean Orthopaedic Association
2000;35(3):511-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of open reduction and internal fixation for disrupted symphysis pubis in unstable pelvic injuries. MATERIALS AND METHODS: Eighteen symphyseal disruptions were treated by open reduction and internal fixation from 1994 to 1998. There were 12 Tile type B and six type C injuries. In 12 patients, anterior fixation was performed whereas six patients were treated by anterior and posterior fixation. The clinical and radiological results were reviewed retrospectively at a mean of 20.4 months (range, 12 to 44 months) . RESULTS: The average symphyseal displacement improved from a preoperative value of 37.3 mm (range, 10-87 mm) to a postoperative value of 6.5 mm (range, 2-14 mm) . Leg length discrepancy which averaged 11.8 mm (range, 4-30 mm) preoperatively was decreased to 2.3 mm (range, 0-7 mm) postoperatively. Open reduction and internal fixation was associated with a higher percentage of excellent results except in osteoporotic bone. Two patients with osteoporosis had a loss of fixation. Complications were infrequent. CONCLUSION: Open reduction and internal fixation are desirable techniques for symphyseal disruption. But the supplemental wire fixation with plate would be recommended for elderly patients who show obvious signs of osteoporosis.
