SURGICAL TREATMENT OF VERTICALLY UNSTABLE INJURIES OF THE PELVIS (TYPE C ACCORDING АО CLASSIFICATION)

Abstract

The study is based on the analysis of the results of surgery on 34 patients with vertically unstable injuries of the pelvis at the age 16-61 operated on the period 2006-2010. Two following major methods of operative treatment were used: external fixation and combination of external and internal fixation. According to characteristics of posterior part of pelvis injuries patient were distributed as following: 19 patients with rupture of sacro-iliac joint, 15 patients with fracture of sacrum. In 18 patients injuries were associated with neuropathy of plexus sacralis. Follow-up long term results were estimated by Majeed scale. In the group of patients with vertically unstable injuries excellent results were achieved in 15 (45%) cases, good - in 10 (30%), satisfactory - in 9 (25%) patients.