Abstract

• PURPOSE: This study was conducted to analyze the clinical prognosis of early internal fixation in unstable pelvic fracture. MATERIAL AND METHOD: We analyzed the sixteen patients. The average age of the patients was 34 years(range, 21-64 years). They were followed up for average 21 months. The sixteen pelves were classified by Tile ; Type B 3 cases, Type C 13 cases. Nine patients(56%) had the associated injuries. In 13 patients(81%), internal fixation were performed within 3 weeks after the injury. Fixation was accomplished by the plates and screws. We assessed the functional, radiological results and postoperative complications. RESULTS: Fourteen(88%) patients were fully ambulatory, had no limp, did not need assistive devices. Fifty percents of the patients had returned to the previous jobs and 31% had to change the jobs. On radiolograph, there were 14 excellent and 2 good reduction. Three postoperative complications happened ; two superficial infections and one lumbar neuropathy, which resolved spontaneously. Three patients with associated injuries, who had delayed fixation, appealed gait disturbance and chronic pain. CONCLUSION: early internal fixation of unstable pelvic ring fractures may be expected to yield satisfactory functional success and radiologic results in the majority of patients
• Key words: pelvis, unstable fracture, early internal fixation

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• Intrapelvic Anterior Plate Fixation for Crescent Fracture-Dislocation of Sacroiliac Joint
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  Journal of the Korean Fracture Society.2013; 26(3): 184.     CrossRef
• Surgical Fixation of Sacroiliac Joint Complex in Unstable Pelvic Ring Injuries
  Kwang-Jun Oh, Seok-Min Hwang
  Hip & Pelvis.2012; 24(2): 139.     CrossRef
• Operative Treatment of Unstable Pelvic Ring Injury
  Sang Hong Lee, Sang Ho Ha, Young Kwan Lee, Sung Won Cho, Sang Soo Park
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• Crescent Fracture-dislocation of Sacroiliac Joint: Affecting Factors of Operative Results
  Hee-Soo Kim, Chang-Wug Oh, Poong-Taek Kim, Young-Soo Byun, Joo-Woo Kim, Byung-Chul Park, Woo-Kie Min, Hyun-Joo Lee
  Journal of the Korean Fracture Society.2009; 22(2): 71.     CrossRef