Internal fixation, external fixation and conservative treatment for unstable pelvic fractures: callus growth and fracture healing rate

doi:10.3969/j.issn.2095-4344.2015.35.014

Abstract

Abstract:

BACKGROUND: There are many methods in the clinic to treat pelvic fractures, mainly conservative treatment, internal fixation and external fixation. Conservative treatment often causes complications due to poor reduction after fractures. Fixation has good effects on repair of unstable fractures, but fixation is seldom used for pelvic fractures.
OBJECTIVE: To observe the effects of internal fixation on unstable pelvic fractures, and compare with conservative treatment and external fixation.
METHODS: 126 cases of unstable pelvic fractures from Longhua District People’s Hospital of Shenzhen City from January 2008 to June 2014 were divided into three groups: conservative treatment group, external fixation group and internal fixation group (n=42). After treatment, patients received X-ray examination. Lindahl imaging criteria were used as evidence. The quality of fracture reduction was evaluated. Patients were regularly followed up after treatment. The recovery of limb function was evaluated according to Majeed standard. Repair effects, the excellent and good rates of fracture healing and callus growth were evaluated in the last follow-up.
RESULTS AND CONCLUSION: During the last follow-up, the total efficiency was 81% in the internal fixation group, 69% in the conservative treatment group, and 71% in the external fixation group, and results were
significantly better in the internal fixation group than in the other two groups (P < 0.05). The Lindahl and Majeed scores were significantly higher in the internal fixation group than in the other two groups (P < 0.05). These results suggest that internal fixation for unstable pelvic fracture obtained better recovery effects and efficiency than conservative treatment and external fixation. Thus, the internal fixation is more suitable for patients with unstable pelvic fractures.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Pelvis, Fractures, Bone, Internal Fixators, External Fixators, Follow-Up Studies

CLC Number:

R318

Liu Guo-xiong, Xiao Liu-bin, Li Peng-fei, Ma Han-fei, Lian Yin-chuan, Wang Qing-hua, Wu Yuan-cheng. Internal fixation, external fixation and conservative treatment for unstable pelvic fractures: callus growth and fracture healing rate [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(35): 5646-5651.

Figures/Tables 7

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