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| Ramesh K Sen,Nirmal Raj Gopinathan,Tajir Tamuk,Rajesh Kumar,Vibhu Krishnan,Radheshyam Sament.[J].Chin J Traumatol,2013,16(2):94-98. [doi] |
| Predictors of early outcome in unstable pelvic fractures |
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| DOI： |
| KeyWord: Pelvis Fractures, bone Treatment
outcome Pubic symphysis |
| FundProject: |
| Author Name | Affiliation | | Ramesh K Sen | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India | | Nirmal Raj Gopinathan | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India | | Tajir Tamuk | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India | | Rajesh Kumar | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India | | Vibhu Krishnan | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India | | Radheshyam Sament | Department of Orthopaedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India |
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| Abstract: |
| Objective: To define the preoperative and intraoperative variables which may affect the immediate
postoperative outcome in surgically managed patients with unstable pelvic fractures.
Methods: This study was performed prospectively from January 2009 to June 2011 on 36 consecutive patients admitted to the trauma ward of Postgraduate Institute of Medical Education and Research, Chandigarh, with unstable pelvic injuries.
Results: In the present study of 36 patients, 29 were managed surgically. Surgical duration was 2 hours in patients operated on within 1 week and 3.4 hours in those operated on after 1 week. The blood loss was 550 ml when surgery was done after a week, but when done within a week it was 350 ml. The average blood loss through Pfanenstial approach was 360 ml, through posterior approach
was 408 ml and through combined approach was 660 ml which was significantly high.
Conclusion: Anterior approach to the pelvis would cause significantly more amount of blood loss than posterior approach and external fixation. Surgical approaches do not have any influence on the surgical duration or the infection rate. The blood loss significantly increases when the
surgical time is more than 1 h. The infection rate is not influenced by the duration of surgery. Presence or absence of associated injuries to the head, chest or abdomen is the main determinants of patient’s survival and it greatly influences the duration of hospital stay. |
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