IS POSTERIOR-ONLY RIGID FIXATION AN EFFICIENT OPTION FOR THE TREATMENT OF UNSTABLE LATERAL COMPRESSION PEDIATRIC PELVIC FRACTURES? | ||
| Egyptian Journal of Orthopedic Research | ||
| Article 5, Volume 3, Issue 2, December 2022, Pages 71-77 PDF (763.07 K) | ||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||
| DOI: 10.21608/ejor.2022.280986 | ||
| Authors | ||
| Mahmoud ElSherif1; Mostafa Mahmoud Ahmed2; Mostafa Abonnour3 | ||
| 1Orthopedic Surgery dept., Faculty of Medicine, Suez Canal Univ., Ismailia, Egypt | ||
| 2Orthopedic Surgery dept., Nasr City Police Hospital, Cairo, Egypt | ||
| 3Orthopedic Surgeon, Ministry of Health and Population, Cairo, Egypt | ||
| Abstract | ||
| Background: Pediatric pelvic fractures (PPF) are rare injuries and usually resulted from high-energy mechanisms. Unstable lateral compression fractures may leave permanent deformity with pelvic asymmetry. The purpose of this study was to evaluate the safety and efficacy of rigid posterior fixation for treatment of unstable lateral compression pelvic fractures in children. Methods: A retrospective case series of 13 patients with unstable lateral compression pelvic fractures. All cases were treated in a university hospital between January 2013 and May 2020. Inclusion criteria were: all patients under 16 years old, hemodynamically stable and who were treated posteriorly using rigid posterior fixation with a minimum followup of 12 months. Assessment was done clinically utilizing Majeed score and radiologically utilizing Matta score. Results: There were 8 boys and 5 girls with a mean age of 9.5 ± 4 years. There were 8 children with an immature pelvis. The most common causes of injury were motor car accident (61.5%). The interval from injury to surgery was 2-11 days with a mean of 6 ± 2 days. The mean intraoperative time was 81.9 ± 18.3 minutes with a mean operative blood loss of 113.9 ± 48 ml. According to the Matta and Tornetta score; the reduction was rated excellent in 10 patients and good in 3 patients. According to the Majeed score, the outcome was rated excellent in 11 patients and good in 2 patients. Conclusion: Posterior-only rigid fixation by interfragmentary intrailiac screws and plates is a safe and effective method for treatment of unstable lateral compression fractures in children. | ||
| Keywords | ||
| Pediatric pelvic fractures; Lateral compression fractures; Crescent fractures; Posterior-only fixation; Interfragmentary intrailiac srews | ||
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