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Indian Journal of Orthopaedics Surgery


Outcome of plate osteosynthesis in pubic diastasis: an experience of teritiary care centre


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Author Details: Mantu Jain, Ritesh Runu, Santosh Kumar, Manish Kumar

Volume : 2

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 326

Article End Page : 330


Abstract

Background: Pubic diastasis results from high energy trauma and is often component of polytrauma. When diastasis is >2.5 cm these are unstable fracture and needs fixation. We share our outcome in management of type II & III APC at our tertiary care centre.
Methods: A total of 15 patients were selected from 23 patients presenting in a year span for study fulfilling our inclusion exclusion criterion. We fixed all type II APC injury patient with single anterior plating and type III APC with anterior plating and posterior sacroiliac screws. Each patient was followed up for one year for functional and radiological outcome.
Results: Among the 15 patients, there were 9 APC II & 6APC III injuries. M: F ratio was 11:4. Functional outcome was excellent in 7 (47%), good in 6 (40%) and fair in 1 (13%) patient. Radiological scores were excellent in 6 (40%), good in 5 (33%), fair in 2 (13%) and poor in 2(13%) patient. No patients had implant failure.
Conclusions: We believe single anterior symphyseal plating alone in APC II and additional sacroiliac screw fixation in type III APC injuries provide adequate stabilization.

Keywords:
Pubic diastasis, Plating, Sacroiliac screws