Repair of unstable pelvic fracture in 60 cases:pathway of metallic implants

Li Jie; Zhuang Yan-feng; Wang Bing-zhan

doi:10.3969/j.issn.2095-4344.2015.09.017

Abstract：BACKGROUND:The unstable pelvic fracture is a common type of fracture, has the characteristics of complex disease and complications. Clinical treatment can use conservative or surgical methods. However, the most conservative treatment cannot achieve satisfactory therapeutic effects. Therefore, surgical treatment of different metal implants has become the main mode of treatment of unstable pelvic fracture. <br> OBJECTIVE:To explore the application value of metal ic implants in the treatment of unstable pelvic fracture. <br> METHODS:A total of 60 patients with unstable pelvic fracture in the Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Area Command of Chinese PLA in China from September 2012 to September 2013 were selected and were given different treatments of metal implants operation after typed, including 8 cases of type B1, 20 cases of type B2, 9 cases of type B3, 15 cases of type C1 and 8 cases of type C2. According to different types of fracture, anterior and posterior approaches were performed. General y, patients with type B received anterior approach, and those with type C received anterior+posterior approach. After treatment, antibiotics were used to prevent infection. Drainage tube was pul ed out within 48-72 hours. Rehabilitation training was gradual y performed at 3 days after treatment. <br> RESULTS AND CONCLUSION:Al patients were fol owed up for 1-12 months after treatment. The excel ent and good rate was 95%. Complications occurred in seven patients after operation. The complication rate was 12%. They received active symptomatic treatment and were cured. No serious complications appeared. Above results confirmed that unstable pelvic fracture patients obtained good repair effect using different metal implants, and have a certain value in clinical application.