Possibilities of external fixation according to Ilizarov principles for closed restoration of pelvic ring shape and stability in patients with advanced pelvic injuries

Abstract

Purpose. To improve the results of treatment of patients with advanced pelvic injuries using external fixation according to Ilizarov principles of transosseous osteosynthesis.
Materials and Methods. The results of treatment analyzed in 32 patients. External fixation using the Ilizarov method and fixator used in all cases for pelvic ring deformity correction and stabilization achievement. The advantages of pelvic ring external fixation versus internal one identified, osteosynthesis technologies presented depending on anatomic-and-functional disorders.
Results. The results of treatment within 1-8-year period studied in 28 patients. Good results achieved in 18 patients, satisfactory ones – in 7, unsatisfactory – in 3 patients associated with pubic bone separation recurrence and anterior pelvic instability.
Conclusion. The technique of external pelvic fixation using the Ilizarov fixator according to the principles of transosseous osteosynthesis developed in RISC “RTO” allows to restore the shape and stability of pelvic ring for its advanced injuries in a closed manner.