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
1419
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
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