FUNCTIONAL OUTCOME OF EARLY EXTERNAL FIXATION IN PELVIC FRACTURE

Dr. Ashok Vidyarthi, *Dr. Rajesh Turkar and Dr. Ajay Dhanopeya

ABSTRACT

Background: The behavior of pelvic ring fracture following surgical fixation has been very sparsely studied. Pelvic ring injuries, depending on their severity had been treated by variety of closed method. The purpose of the study is to assess the short-term functional outcome of pelvic ring fracture following surgical fixation. Material and Methods: Present prospective study consist of 62 patient of pelvic fracture admitted in department of orthopedics, NSCB medical college and hospital Jabalpur (M.P) during the period of Oct. 2010 to Sep. 2011. All patient of type A (stable) fracture treated by conservative method. Out of 40 patient of unstable pelvic fracture (involving pelvic ring) 14 were treated by surgical method. Out of 14 patient 4 were treated by external fixation, 8 by internal fixation, and 2 by combined external and internal fixation. Functional outcome assessment done by Majeed Scoring System.[1] Results: Functional outcome score in surgically treated patient is excellent in 7 patients, good in 4, fair in 2, and poor in 1 patient with the minimal 3 month follow-up. Pain is the most common complaint after 3 month of surgical fixation, it is seen in 4 patients (28.57%) but only 1 patient changes their job because of this pain. Conclusion: Pelvic ring injury is a serious injury and can lead to long term problems significantly. Any unstable type pelvic ring injury should be treated by operative methods.

Keywords: Surgical fixation.