Open AccessSurgical treatment of ruptures of the pubic symphysis and sacroiliac joint in multiple and concomitant trauma
Author(s) -
В. А. Соколов,
В. А. Щеткин
Publication year - 2022
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto99631
Subject(s) - polytrauma , medicine , concomitant , diastasis , pelvic fracture , sacroiliac joint , surgery , pubic symphysis , symphysis , pelvis , osteosynthesis , internal fixation , external fixation , fixation (population genetics) , external fixator , population , environmental health
Experience in operative treatment of severe unstable fracture of pelvic ring is presented. There were 91 patients with polytrauma. Biomechanical characteristics of pelvic bones and joints of different injury severity was given. Priorities of main diagnostic and curative management were defined in patients with concomitant pelvic injury. Efficacy of AO type external fixation device for the pelvic fracture stabilization in acute period was shown. In pubic symphisis rupture with diastasis over 3 sm. the method of internal fixation by modified plate was used. In old fractures osteosynthesis with alloplasty was carried out. In 79 patients follow up ranged from 1 to 10 years. Good results were achieved in 62 patients (78.5%), satisfactory results in 11 patients (13.9%)).