Delayed internal fixation on unstable bone pelvic fracture

Abstract

The frequency of pelvic fractures is low, but the associated mortality is extremely high. Its treatment represents a great challenge for health professionals, both clinically and surgically. The case of a patient with unstable pelvic fracture is presented. This is a 38-year-old woman with a history of acute trauma in the pelvic region due to fall from a height. Physical examination showed pelvic deformity, with ascent of the right hemipelvis and discrepancy in the length of the lower limbs, with 8 cm shortening of the right limb and sacroiliac pain to the pelvic opening. The conventional radiographic study revealed signs of pelvic asymmetry, elevation of the right hemipelvis and fractures of both ilioisquiopubic branches, unstable pelvic fracture type C1, according to the Marvin Tile classification. In correspondence, treatment is planned in two phases: first, skeletal traction of the extremity for three weeks and then, anterior sacroiliac fixation with reconstruction plates, by extraperitoneal approach without contribution of auto graft. The procedures are performed without complications, discharged the patient seven days after surgery, followed by an outpatient clinic for six months. After that period of time, she was discharged by a doctor, with good functional performance (15 points according to Matta’s criteria).

Keywords

• pelvis
• rotura
• fijación de fractura