The best method of treating unstable pelvic fractures that involve
the obturator ring is still a matter for debate. This study compared
three methods of treatment: nonoperative, isolated posterior fixation
and combined anteroposterior stabilization. The study used data from the German Pelvic Trauma Registry and
compared patients undergoing conservative management (n = 2394),
surgical treatment (n = 1345) and transpubic surgery, including
posterior stabilization (n = 730) with isolated posterior osteosynthesis
(n = 405) in non-complex Type B and C fractures that only involved the
obturator ring anteriorly. Calculated odds ratios were adjusted
for potential confounders. Outcome criteria were intraoperative
and general short-term complications, the incidence of nerve injuries,
and mortality.Aims
Patients and Methods
At follow-up weight-bearing AP pelvis radiographs were obtained. OA was present when the minimum joint space width was <
2.0 mm. Radiographs of sex- and age-matched controls were obtained from The Copenhagen City Heart Study. The following criteria for exclusion were applied:
insufficient or missing radiographs patients who refused to participate, emigrated persons, persons lost to follow-up, patients with previous surgery to pelvis or lower limbs and dead persons. 52 patients (55 hips) were enrolled in the study and 115 patients (136 hips) were excluded. Mean age for men at follow-up was 53 years and for women 55 years.
Radiographs of sex- and age-matched controls for the follow-up group were obtained from The Copenhagen City Heart Study. The following criteria for exclusion were applied
emigrated persons, persons lost to follow-up and patients with previous surgery to pelvis or lower limbs. 135 patients (156 hips) were enrolled in this study and 32 patients (35 hips) were excluded.
