Abstract: Background: Pelvic injures are challenging to treating surgeon. Operative treatment outcomes of pelvic injuries have been sparsely studied in India. This study was performed to evaluate functional and radiological results of pelvic ring fractures treated operatively.
Methodology: 40 unstable pelvic injury patients managed operatively were reviewed prospectively and retrospectively between January 2016 and May 2018 at Dayanand Medical College & hospital, Ludhiana. Functional assessment was made using Majeed score at 6 months follow up. Radiological assessment was also done to study for union, malunion or non-union of fractures.
Results: Mean age was 35.05 years (range 19-62). 23 were males and 17 were females. 31 patients were managed primarily with definitive fixation while 9 were initially managed with external fixator application. Radiological grading was done according to residual displacement in anterior or posterior pelvic ring.
There were 19 patients with tile type B & 21 with type C pelvic injuries.33 patients (82.5%) had one or more associated injuries. Functional outcome was excellent in 15 patients (40.5%), good in 19 patients (51.4%), fair in 1 patient (2.7%) and poor in 2 patients (5.4%). Radiological outcome was poor in 3 patients (8.1%), fair in 7patients (18.9%), good in 11 patients (29.7%) and excellent in 16patients (43.2%). The difference between radiological and functional results was found insignificant statistically (p value = 0.059).
Conclusion: Operative management of pelvic fractures results in good clinical and radiographic results. Concomitant injuries add on to morbidity and mortality, so have deleterious effect on the functional outcome. Tile type C injuries are more devastating than type B pelvic injuries.
