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An Assessment of Plate Fixation in Traumatic Injuries of Pubic Symphysis
Keywords:
Pubic Symphysis Diastasis/surgery, Bone Plates/therapeutic use, APC II injuriesAbstract
ABSTRACT
Objective: the functional and radiological outcomes after plate fixation of pubic symphysis diastasis
Methods: This was a retrospective study conducted from January 2012 to January 2016. A predesigned score was used to assess the functional outcome of patients and for radiological outcome, x-ray of pelvis taken at 12 months post operatively was analyzed and compared with the immediate post-operative x-ray.
Results: 22 patients were enrolled in study with mean age 42.2 years (range 18-68).Population standard deviation was 9.57. Of these 20(91%) were males and 2(9%) were females. 04 (18.2%) patients had excellent, 13(59%) patients had good, 4 (18.2%) had fair and 1 (4.5%) had poor functional outcome. 11 (50%) patients had good radiological outcomes.
Conclusion: Plate fixation of traumatic pubic symphysis diastasis with single or dual plating had given better results and early functional recovery.
References
2. Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. Journal of the American College of Surgeons. 2002 Jul 31;195(1):1-0.
3. Metze M, Tiemann AH, Josten C. Male sexual dysfunction after pelvic fracture. Journal of Trauma and Acute Care Surgery. 2007 Aug 1;63(2):394-401.
4. Burgess AR, Eastridge BJ, Young JW, Ellison TS, ELLISON Jr PS, Poka A, Bathon GH, Brumback RJ. Pelvic ring disruptions: effective classification system and treatment protocols. Journal of Trauma and Acute Care Surgery. 1990 Jul 1;30(7):848-56.
5. Majeed SA. Grading the outcome of pelvic fractures. Bone & Joint Journal. 1989 Mar 1;71(2):304-6.
6. Dalstra M, Huiskes R. Load transfer across the pelvic bone. Journal of biomechanics. 1995 Jun 30;28(6):715-24.
7. Handralmath SP, Kalambe HV. Functional and radiological out plating of pubic diastasis.
8. Iqbal F, Taufiq I, Najjad MK, Khan N, Zia OB. Fucntional and Radiological Outcome of Surgical Management of Acetabular Fractures in Tertiary Care Hospital. Hip & pelvis. 2016 Dec 1;28(4):217-24
9. Giannoudis PV, Kanakaris NK. Pubic Symphysis Fusion. InPractical Procedures in Elective Orthopaedic Surgery 2011 (pp. 23-28). Springer London
