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Pelvic bone fractures are very complex and offer challenging situations to orthopedic surgeons. The ideal treatment method for pelvic fractures remains a matter of debate till date. The objective of the present study is to introduce the treatment modalities and clinical outcomes of pelvic fractures at our center in Uzbekistan. For study, 285 patients admitted from February, 2010 to January, 2014 with pelvic injury at the head center of the Republican Research Center of Emergency Medicine of Uzbekistan were enrolled. The age of the patients ranged from 25 years to 55 years. Clinical outcomes were analyzed in 182 patients who were operated and had followed up for at least 6 months. Study population was divided into three groups according to the morphology of fracture and stability of the pelvic ring. Out of 285 patients, surgical treatments were performed in 205 (71.9%) cases. Unstable pelvic fractures were 80 (28.1%). Among the surgically managed patients, transosseous osteosynthesis by external fixator was in 103 (50.2%) cases, osteosynthesis by internal fixation was in 42 (20.5%) cases, and combined osteosynthesis was in 60 (29.3%) cases. Polytraumatized patients were 202 (70.9%). Overall mortality observed was 26 (9.1%). Clinical outcomes were excellent in 114 of the cases (62.4%) and good in 48 (26.4%). Using external fixator, surgical treatment of pelvic fracture showed satisfactory clinical outcome in Uzbekistan region. However, more combination of external fixator and internal fixation was necessary in unstable pelvic fracture compared with stable or partially stable pelvic fracture.
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Author(s): Akbar B Tilyakov TaeWoo Kim Suman K Shrestha JiHyo Hwang Saliyjan Z Bekchanov Erkin Y Valiev KyeongDok Kang Supriya Jagga DoYoung Kim SangSoo Lee
Pelvis, Fracture, Treatment, External fixator.