Functional outcome of pelvic fractures in children | ||
The Egyptian Orthopaedic Journal | ||
Volume 52, Issue 1, January 2017, Pages 72-77 PDF (340.92 K) | ||
DOI: 10.4103/eoj.eoj_39_17 | ||
Authors | ||
Mohamed Gobba; Sherif A. Khaled; Ahmed Galal; Hazem A. Azeem | ||
Abstract | ||
Objective The objective of this study was to assess the early radiological and functional outcome of either conservatively or surgically treated pediatric pelvic fractures. Patients and methods This was a prospective study of pediatric patients with pelvic fractures resulting from high-energy trauma. Management was either conservative or surgical. Score-based functional outcome assessment was done. Results A total of 30 patients were enrolled in the study. Of them, 20 patients were managed conservatively and 10 patients were surgically treated. We had three mortality cases. The mean follow-up period was 9 months. Functional outcome score was 74 for conservative and 70 after operative treatment according to Majeed score. Limb-length discrepancy, back pain, skin macerations, infection, and nerve injury were the encountered complications. Conclusion Pediatric pelvic fractures classified as Tile A or B can be successfully managed conservatively. All vertically unstable fractures should be reduced and fixed as the pediatric pelvis has a very limited remodeling power for this type of fracture. | ||
Keywords | ||
pediatric fractures; Pediatric pelvic fractures; pelvic fracture; pelvic fracture in children; Pelvis | ||
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