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MANAGEMENT OF UNSTABLE PELVIC RING FRACTURES IN CHILDREN



Abstract

Introduction: Paediatric Pelvic fractures are rare and constitute only 1% to 3% of all fractures in children; they are different from other fractures in children due to concomitant injuries that occur immediately.

Method: A retrospective analysis was performed in order to review the pattern of paediatric pelvic fractures, indications for surgical treatment and outcome of pelvic fractures in children. In our study we included paediatric patients with significant pelvic fractures, who were treated surgically between 1992 and 2004. We excluded tendon-bone avulsion injuries and acetabular fractures from study.

Results: We treated 29 paediatric pelvic fractures in this duration. Mean age was 14.17 (5 to 17) years. All of these patients had procedure under general anaesthetic under care of single consultant. 10 had ORIF of pelvis, 13 had external fixator application, 5 had sacral screw fixation and 6 had examination under anaesthesia. We shall discuss the results in detail in presentation

Discussion: We concluded that although pelvic fractures in children are uncommon but require early diagnosis and management and this should not differ greatly from those in adults.

Correspondence should be addressed to BSCOS, c/o Royal College of Surgeons, 35 – 43 Lincoln’s Inn Fields, London, WC2A 3PN