Mistakes and complications in the surgical treatment of pelvic fractures

Abstract

Abstract. Unsatisfactory results of treatment of severe patients with pelvic trauma in medical institutions are explained by a number of reasons, which can be divided into three groups: organizational, medical-diagnostic and tactical. Primary disability in severe pelvic injuries averages 14%, and in patients with a combination of pelvic and acetabular injuries complete social rehabilitation is achieved in no more than half of cases. pelvic bones and ways to prevent them. Materials and methods. In the period from 2013 to 2018, 155 patients with pelvic fractures were treated. Results. Refusal of surgical treatment for fractures of the posterior-upper edge of the acetabulum with rotation of the fragment and dislocation of the thigh and other fractures of the pelvic bones, which are difficult to exercise and poorly maintained, is extremely dangerous. In such cases, it is impossible to eliminate the displacement by conservative methods and the refusal of surgical treatment entails improper fracture fusion and disability. Conclusions. Active surgical tactics of primary care for patients with pelvic fractures reduces the risk of death, allows to transport the patient to pelvic surgery clinics. Careful preoperative planning reduces the risk of tactical errors. Postoperative rehabilitation should be aimed at the prevention of osteoarthritis and aseptic necrosis of the femoral head.