Asfandyar Khan, Syed Muhammad Khalid Karim, Niaz Hussain Keerio, Madan Lal, Abdul Rehman Khan, Zahoor Illahi Soomro, Syed Shahid Noor

Long-Term Outcome of Patients with Pelvic Fractures Managed by External Fixator: A Longitudinal Study

Asfandyar Khan, Syed Muhammad Khalid Karim, Niaz Hussain Keerio, Madan Lal, Abdul Rehman Khan, Zahoor Illahi Soomro, Syed Shahid Noor



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ABSTRACT

Aim: To evaluate the long-term outcome of patients with pelvic fractures managed by an external fixator

Study design: A longitudinal study

Place and Duration: This study was conducted at Pakistan Institute of Medical Sciences (PIMS) Islamabad Pakistan from march 2020 to march 2021.

Methodology: The study included patients with unstable pelvic fractures who were treated with an external fixator. The study enlisted the participation of thirteen patients. The patients ranged in age from 23 to 55 years old, with eleven male and two female patients. Ten patients were injured in a car accident, and three were injured after falling from a height. Radiological evaluation X-rays, abdominal Ultrasound, and 3D – CT with anteroposterior, inlet, and outlet views were performed

Results: Although four patients required additional internal fixation and reconstruction plating, thirteen patients were stabilized with an external fixator in our study, and no one died. The fundamental advantage of this treatment is that it keeps the reduction in place, resulting in a tamponade effect that minimizes bleeding and makes patient transfer easier.

Conclusion: External fixators are proving to be effective in treating a variety of complicated pelvic fractures, and our findings suggest that it is operational in an emergency and can be sustained as an ultimate treatment for type B and C pelvic injuries.

Keywords: External fixator, Injuries, Fractures, Pelvic, Orthopaedics



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