Pelvic ring fractures: what about timing?

Pelvic ring fractures: what about timing?

Authors

  • Carlotta Artoni Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Francesco Pogliacomi PARMA UNIVERSITY DEPARTMENT OF SURGICAL SCIENCES ORTHOPAEDIC AND TRAUMATOLOGY SECTION
  • Luca Guardoli Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Ferruccio Lasagni Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Massimiliano Leigheb Orthopaedics and Traumatology Clinic. Department of Health Sciences, "Maggiore della Carità" Hospital, Piemonte Orientale University, Novara, Italy
  • Francesca Fontanesi Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Filippo Calderazzi Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Massimo Pompili Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Enrico Vaienti Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)
  • Francesco Ceccarelli Orthopaedics and Traumatology Clinic. Department of Medicine and Surgery. University of Parma. Italy. Via Gramsci 14, 43126 Parma (Italy)

Keywords:

pelvis, fracture, injury, timing, fixation, surgery

Abstract

Background and aim: Pelvic ring fractures represent a challenge for orthopaedic surgeon. Their management depends on patient’s condition, pattern of fracture and associated injuries. Optimal timing for synthesis is not yet clear. The aim of this study was to define if surgical timing influenced clinic and radiographic outcomes following open reduction and internal fixation for Tile B and C fractures. Materials and methods: 38 patients were included. Patients underwent a clinical examination with the Majeed Score, Iowa Pelvic Score and Orlando Pelvic Score. The radiographic assessment was performed according to Matta Pelvic Score. A statistical analysis of the data compared patients who were operated within 3 weeks (group 1) and those operated later (group 2). Results: Both clinical and radiological outcomes were influenced by timing of surgery. Conclusion: Pelvic ring fractures interest many polytrauma patients and, therefore, their surgical orthopedic approach is frequently delayed as consequence of the severity of the associated clinical conditions. An early surgery of pelvic rong fractures allows a better quality of reduction and osteosynthesis.

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Published

05-12-2019

How to Cite

1.
Pelvic ring fractures: what about timing?. Acta Biomed [Internet]. 2019 Dec. 5 [cited 2024 Jun. 24];90(12-S):76-81. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/8949