Damage control in severe pelvic fractures.docVIP

 PAGE \* MERGEFORMAT 13 Damage control in severe pelvic fractures Study: High-thinking, Sun Furong, Geguang Yong, Huang Shen, Ma Guohua, Jiang Yu Zhi [Abstract] Objective orthopedic damage control theory (damage control orthopaedics, DCO) in the treatment of severe pelvic fracture and preliminary clinical results. Methods from August 2004 to October 2007 application DCO method of treatment of 20 cases of severe pelvic fracture. Which fixation than 4 cases as the ultimate treatment, 8 patients before and after the rings are unstable pelvic fracture fixation and other skeletal traction on femoral condyle as the ultimate treatment, 8 cases of a line of external fixation in patients with stable vital signs to be used after the two before and / or posterior open reduction and internal fixation. Results After an average of 10 months (4 to 18 months) follow-up, 20 patients, 1 died, 1 patient after cerebral contusion into a vegetative state by the rule No quality of life, no complications such as internal and external fixation failure occurred, 2 patients had claudication, walking pain, 1 female patients with sexual pain. Conclusion DCO theoretical treatment of severe pelvic fractures can be quickly and effectively save the patient’s life and improve survival , stable fracture to reduce the incidence of complications. [Keywords:] pelvis, fractures, damage control, external fixation Abstract: Objective To investigate the clinical effect of damage control orthopedics (DCO) in treatment of severe pelvic fractures.Methods A retrospective study was carried out in 20 cases of severe pelvic fractures treated from Augest 2004 to October 2007,4 cases of them were treated by exteral fixation as the definitive treatment, 8 cases were treated by exteral fixation in coordination with skeletal traction from supracondylar of the femur as the definitive treatment, 8 cases whose anterior and posterior rings were both unstable were treated by exteral fixation in coordination