Pelvis fixation in posterior ring injuries in polytrauma patients

Abstract

Background Unstable pelvis injuries are one of the most difficult and severe trauma of musculoskeletal system that needs emergency measures. Aim of the study is the optimization of treatment tactics in unstable pelvis fractures in polytrauma patients. Маterial and methods This is a prospective study of treatment results of 96 polytrauma patients with unstable pelvic fractures type C. Unilateral injuries of the posterior pelvic ring were 85.42 % (n = 82), bilateral injuries were 14.58 % (n = 14) of cases. Diagnostic complex included physical examination, laboratory tests, X-rays and CT. Examination was carried out simultaneously with anti-shock measures and intensive care. Primary basic stabilization of the pelvis with an external device and fixation of the posterior ring were performed. Results and discussions Three patients died (3.13 %), the remaining 93 (96.87 %) patients completed treatment with good outcomes. The biomechanics of pelvic injuries shows us the necessity of external fixation. Unstable pelvis injuries in polytrauma patients with hemodynamic instability should be temporary stabilized to decrease the intrapelvic volume. Conclusions Primary stabilization of the pelvic ring is an effective therapeutic tactic that leads to a significant reduction in the severity of patients’ condition, prevention of post-traumatic complications and early functional recovery of the damaged organs.