Abstract

ABSTRACT:
BACKGROUND :
Unstable pelvic ring fracture (PRF) constitute 17 – 23% of pelvic fracture , it occurs as a high – energy injuries , and usually associated with multiple concomitant injuries. The mortality has been reported between 18 – 25%. Conservative treatment carries a high rate of complication. Recent studies recommended surgical stabilization by open reduction and internal fixation (ORIF).
OBJECTIVE:
Evaluate the functional outcome, morbidity and mortality rate in the patients treated by anterior and posterior fixation of (PRF).
PATIENTS AND METHODS:
This is a prospective study on 23 patients sixteen male and seven female , age range 18 – 50 years with unstable PRF were operated upon by (ORIF) , there were 12 patients with sacro – iliac joint (SIJ) dislocation and 8 patients with SIJ fracture – dislocation , three with sacral fracture , various implants used for stabilization assessment of the outcome based on patients oriented score of Majeed scale , follow up period range 14 – 37 months postoperatively.
RESULTS :
The functional outcome were as follow using Majeed's scale as excellent in 12 patients (52%) good in 5 (21%) and moderate in three (13%) and poor in one ( 4.7%) . Two patients died during follow up period (8.6%). There was statistical significant relation between the severity of injury and low grade outcome.
CONCLUSION:
Early ORIF of unstable fracture of pelvic ring is recommended.