PMID: 9173552Mar 1, 1997Paper

Treatment outcome after complex pelvic trauma in children

Der Unfallchirurg
L Meyer-JunghänelH Tscherne

Abstract

Between 1972 and 1994 21 children up to 14 years old sustained complex pelvic trauma treated at the Trauma Department of the Hannover Medical School. Sixteen of the 17 survivors were followed at an average of 8.9 years. In 8 patients operative treatment of the disrupted pelvic ring (external or internal fixation) was performed; in 8 patients the treatment was conservative. At follow-up 9 patients (56%) were pain-free; 4 reported slight, 2 moderate and one patient severe pain (at rest). There were no neurological deficits. Four patients had disturbed micturia, and 1 had bowel incontinence. Radiological evaluation showed anatomic reconstruction of the pelvic ring in 9 cases (56%). Residual maximum displacement of 12 mm was detected in 2 patients. In 3 cases osteoarthritis or ancylosis of the SI joint was present. In 3 cases a clinically not disturbing heterotopic ossification was found. Another 2 cases had ossifications of the pubic symphyses. A post-traumatic acetabular dysplasia was detected in 2 cases; a hypoplasia of the hemipelvis was seen in 3 patients. In a retrospective analysis of the primary radiographs, 13 pelvic lesions were not detected during the primary clinical course (sacral fractures, lesions of the triradiate c...Continue Reading

Citations

Aug 28, 2015·The Open Orthopaedics Journal·Theodoros H TosounidisPeter V Giannoudis
Jan 27, 2000·The Journal of Trauma·R J StilettoL Gotzen
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Axel GänsslenAnnelie M Weinberg
Dec 18, 2013·Der Unfallchirurg·K Nowack, W Schlickewei
Apr 25, 2020·Der Unfallchirurg·A Gänsslen, A Weinberg

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