TAILIEUCHUNG - External fixation unstable pelvic fracture

To give some remarks on treatment results of the unstable fractures of the pelvic ring by external fixation on the prevention of shock, anatomical recovery and rehabilitation. Also, we gave some comments on indications, techniques and complications. | journal of military pharmaco-medicine no3-2019 EXTERNAL FIXATION OF UNSTABLE PELVIC FRACTURE Nguyen Van Ninh1 Nguyen Tien Binh2 Pham Dang Ninh3 Nguyen Ba Ngọc3 SUMMARY Objectives To give some remarks on treatment results of the unstable fractures of the pelvic ring by external fixation on the prevention of shock anatomical recovery and rehabilitation. Also we gave some comments on indications techniques and complications. Subjects and methods 71 patients with unstable fractures of the pelvic ring type B and type C according to Tile M s classification were treated by external fixation at 103 Military Hospital and National Institute of Burns from May 2010 to Feb 2017. Among them we conducted a prospective study on 49 patients and a retrospective one on 22 patients. External frame by the reversed pressed bars by profesor Nguyen Van Nhan four 0 mm Schanz pins are placed in the illiac crests. Early results 69 patients became stable out of shock 97 2 deaths due to shock reduction good 56 patients fair 8 patients average 4 patients poor 3 patients . After fixation patients had less pain and could recover quickly. Far results 62 patients follow-up from 6 to 78 months average months. 100 of pelvic fratures are healed. The functional outcome was evaluated by using a scoring system by Majeed 1989 . Clinical findings Good 52 patients fair 3 patients average 4 patients poor 3 patients . Conclusion Treatment of unstable pelvic fracture by the external fixation had good results with simple easy procedure. Pelvic fracture was fixed firmly to reduce the pain stop bleeding prevent shock convenient for treating the patient. Keywords Unstable pelvic fractures External fixation. INTRODUCTION Pelvic facture is a common injury and is usually severe. According to Melton s statistics 1981 in 10 years 1968 - 1977 at Minnesota there was an estimated 37 patients persons 1 year suffering from pelvic fracture 1 . In Vietnam according to

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