Abstract

REY MOGGIA, Jesús; CHIODINI, Mauro; GALAN, Felipe  and  AMADEI ENGHELMAYER, Rafael. Tratamiento de las fracturas de pelvis APCII. Variables que afectan el resultado final. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.2, pp.165-176. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.2.1322.

Introduction: Pelvic fractures are frequently associated with high-energy trauma. Mortality varies from 5%-46%. In these patients, the factors related to poor outcomes are still controversial. Purpose: To explore if the variables analyzed were related with the long term outcomes of the treatment of an anterior-posterior compression type II pelvic fracture (APCII; AO/OTA: 61B2.3). Materials and Methods: 79 cases were analyzed and 23 patients remained for evaluation according to inclusion and exclusion criteria. Pelvic radiographs (anteroposterior, inlet and outlet) and CT-scans were evaluated. The Young & Burgess classification was used to define the fracture pattern and the Majeed Score for clinical outcomes. Variables analyzed: emergency treatment, associated injuries, delay for definitive fixation, method of fixation, quality of immediate postoperative reduction and surgical site infection. Results: We did not find any statistical relation between the type of emergency treatment, associated injuries, delay for definitive fixation, method of fixation, and the long-term clinical outcome. Patients who had an immediate postoperative reduction of less than 1 cm and those who did not have a surgical site infection obtained better functional outcomes (statistically significant). Conclusion: The quality variables of immediate postoperative reduction and surgical site infection in patients with APCII pelvic fracture had a direct relation with long-term functional and clinical outcomes.

Keywords : Pelvic fracture; APCII; Majeed score; variables.

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