Outcome of treatment for pelvic ring and acetabulum fractures: Personal experience [Trattamento delle fratture dell'anello pelvico e dell'acetabolo: Esperienza personale]

Aim. Pelvic ring and acetabulum fractures are usually due to a high-energy transfer. These trauma convey high mortality and morbidity. They require a multidisciplinary approach and a right pre- and postoperative management. The aim of this study was to evaluate the results about the treatment of pelvic fractures treated by open reduction and internal fixation. Methods. A retrospective study was performed on 34 patients (mean age 37 years) treated for pelvic fracture between January 2008 and May 2011, at the Orthopedic and Traumatology Department of Chieti. The fractures were classified according to Tile (pelvic ring) and Judet and Letournel (acetabulum). The mean follow-up, clinical and radiographic, according to "Matta Radiographic Score" and "Majeed Pelvic Score" lasts from 12 to 40 months (mean follow-up 24 months). Results. All patients were treated within five days after injury (2.9 days on average). The radiographic score was excellent in 61.7% of cases, good in 32.5% and fair in 5.8%. The final clinical outcome was excellent in 21 patients, good in 11 and poor in two. according to the "Majeed Pelvic Score". Conclusion. Surgical treatment of dislocated acetabular fractures requires an open reduction and a stable internal fixation. Excellent and good results can be expected only if anatomical reduction and stable internal fixation are achieved.