Limited Open Reduction and Internal Fixation for Tile C Pelvic Fractures

Abstract：Objective To investigate the efficacy of Tile C pelvic fractures treated with limited open reduction and internal fixation. Methods A total of 15 unstable pelvic fractures were treated with limited open reduction and internal fixation from June 2010 to May 2012 in our department. According to the Tile classification,10 cases were of type CI,4 cases of type C2,and 1 case of type C3. Intraoperative blood loss,operation time were measured and postoperative functional outcomes were evaluated during follow-up. Results All patients obtained an average follow-up of 15 months( range,12 to 24months). The average operation time and intraoperative blood loss by the anterior approach were 61 minutes and 92 mL respectively. while those by the posterior approach were 71 minutes and 165 mL. There were no neurovascular structures lesion occurred in 15 cases. One case suffered superficial infection and were controlled after subsequently treated with wound dressing in the pubic incision. The quality of reduction according to Matta′s criteria was graded as excellent in 10 fractures,good in 4 and moderate in 1. All fractures healed 2. 9 months( range,2 to 6months)after operation. According to Majeed′s pelvic fracture criteria. There weere excellent in 12 cases,good in 2 and moderate in 1 at the last follow-up. Conclusion Limited open reduction and internal fixation permits excellent exposure of the Tile C pelvic fracture and provides safe and stable fixation without the necessity to dissect neurovascular structures.