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العنوان
The surgical management of unstable pelvic ring fractures /
المؤلف
El-Saied, Gamal El-Adl.
هيئة الاعداد
باحث / جمال العدل السعيد
مشرف / إبراهيم عوض عيد
مشرف / الشناوى مصطفى الشناوى
مشرف / جون كينريت
مشرف / يحي السعيد بسيونى
الموضوع
Pelvic fractures. Pelvic bones. Orthopedic surgery. Traumatology - Medicine.
تاريخ النشر
1999.
عدد الصفحات
385 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
01/01/1999
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of Orthopedics
الفهرس
Only 14 pages are availabe for public view

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Abstract

Traumatic disruptions of the pelvic ring results jn an injury of varying degrees the bony pelvis, and its soft tissue envelop. Various nerve, vessel, and visceral etures may be damaged. The overall patient treatment is dependent on an accurate assessment of the etural stability of the pelvis depending on the patient history, physical amination, and radiographic studies. In the acute injury phase, haemodynamic instability, and structural instability of epelvic ring are often interrelated, Emergent provisional bony stabilisation using ther external fixator or pelvic clamp can be lifesaving. Biomechanically even with complex type of anterior pelvic external fixation ames, there is no good control over the posterior element of type (C) pelvic aetures to allow patient mobilisation and to ensure anatomical bone healing. Operative treatment of unstable pelvic fractures remains controversial. The Mural history of patient who sustain a vertically unstable pelvic fracture has been escribed with residual significant disabilities like pain, impaired gait, pelvic ~liquity, and sitting, neurologic, urologic, sexual, and cosmetic problems. Anatomic restoration of the pelvic ring especially posteriorly was correlated ith a higher probability of good clinical results. The presence of neurological and ’Iher associated injuries can have profoundly deleterious effects on the functional uteome of the patient. The aim of this study is to evaluate the results of the surgical management of nstable pelvic fractures in a group of patients treated by the same methodological pproach. 57 patients with unstable pelvic fractures were included in this study. he age of the patients ranged from 16 to 66 years, with an average of 34.2 years. Males were more commonly affected than females with a ratio of74% to 24% espectively. Road traffic accidents were the commonest causative trauma in association ith unstable pelvic fractures, and represented (61.31 0/0). , 10 patients had abnormal Glasgow coma scale, with an average of 14.23.