Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Management outcomes in pubic diastasis: our experience with 19 patients | Aggarwal et al. Journal of Orthopaedic Surgery and Research 2011 6 21 http content 6 1 21 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Management outcomes in pubic diastasis our experience with 19 patients Sameer Aggarwal Kamal Bali Vibhu Krishnan Vishal Kumar Dharm Meena and Ramesh K Sen Abstract Background Pubic diastasis a result of high energy antero-posterior compression APC injury has been managed based on the Young and Burguess classification system. The mode of fixation in APC II injury has however been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the posterior pelvic ring elements in these injuries. Methods The study included a total of 19 patients with pubic diastasis managed by us from May 2006 to December 2007. There was a single patient with type I APC injury who treated conservatively. Type II APC injuries 13 patients were treated surgically with symphyseal plating using single anterior superior plates or double perpendicularly placed plates. Type III injuries 5 patients in addition underwent posterior fixation using plates or percutaneous sacro-iliac screws. The outcome was assessed clinically Majeed score and radiologically. Results The mean follow-up was for years 6 months to years . Among the 13 patients with APC II injuries the clinical scores were excellent in one good in 6 fair in 4 and poor in 2 . Radiological scores were excellent in 2 good in 8 fair in 2 and poor in one patient . Among the 5 patients with APC III injuries there were 2 patients each with good 50 and fair 50 clinical scores while one patient was lost on long term follow up. The radiological outcomes were also similar in these. Complications included implant failure in 3 patients postoperative infection in 2 patients deep venous thrombosis in one patient and bladder herniation in one of the patients with implant failure.
