Prospective and Retrospective Analysis of Pelvic Ring and Acetabulum Fractures in Tertiary Care Centre

Mohan Kumar, S (2017) Prospective and Retrospective Analysis of Pelvic Ring and Acetabulum Fractures in Tertiary Care Centre. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: Pelvic injuries are the common outcome of high energy road traffic accidents and fall injuries and these mishaps are on the increase.. There is significant morbidity and mortality with pelvic ring injuries. The mortality may present early due to haemorrhage or associated injuries and late because of multi organ dysfunction or sepsis. Most of the pelvic ring disruptions are unstable injuries. Eventhough most of the injuries can be managed with non-operative techniques like pelvic belt, slings, skeletal and skin traction initially, mainly aiming to stabilize the fracture temporarily or establish haemostasis but conservative management in non-articular reduction of sacroiliac joint may lead to long standing pain and discomfort due to arthritis. Hence decision making in such complex injury place a crucial role in determining the functional outcome. METHODS: 40 patients were selected both prospectively and retrospectively, patients with iliac wing fracture , sacroiliac disruption and pubic diastasis were included along with pelvic injuries associated with other associated comorbidities.7 patients were treated conservatively while surgical intervention done in rest of patients. CT scan, X-rays were taken and results were analysed using MAJEED functional scoring system. OBSERVATION: Of the 40 cases, 20 patients had excellent, 9 patients have good results. All the excellent, good score patients went back to their original job functions. Fair and poor results were mostly due to associated injuries and delayed presentations. Two patients in our study had L5 nerve root palsy on admission which improved to motor power of 3+ in 9 months. Mean score for Tiles type B is more than type C which is statistically significant. CONCLUSION: Definitive skeletal stabilisation done in less than 3 weeks had excellent MFOS in our study when compare to patients with delayed presentation and operated after 3 weeks. Patients coming under Tiles type B and type C classification had shown that operative intervention ensures early return to their original job and excellent functional outcome in our study.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pelvic ring, Tiles type, Majeed score, sacroiliac disruption.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 12:02
Last Modified: 19 Mar 2020 16:11
URI: http://repository-tnmgrmu.ac.in/id/eprint/12357

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