WHICH IS THE BEST TREATMENT OPTION FOR OPEN BOOK PELVIC FRACTURES! INTERNAL FIXATION OR EXTERNAL FIXATION.

Abstract

Introduction: Pelvic fractures occurs in three percent of all fractures. Adult pelvic fractures are usually categorized as unstable and stable. Objective: The aim of the analysisis to compare results between internal and external fixation methods for fixation of pelvic fracture. Study Design: A prospective randomized trial. Place and Duration: In the Orthopedic Department, from March 2018 to March 2020 (Two Years) Methods:In our study of about 24 months; according to the Tile’s classification, open book pelvic fractures were managed by two alternative methods: internal fixation using plate and screws and External Pelvic Fixator. Data was analyzed according to the Performa protocol and SPSS 25.0 was appliedfor this purpose and chai-square test was used for variables. Results:In our study we included Twenty-four open book fracture patients. We distributed them in group A and in group B. Twelve patients were managed byexternal fixators in Group A and O.R.I.F method was applied in 12 patients in Group B using plate and screws. For both group; total observation duration was six months. Patients were surveyed radiographically and clinically with Majeed pelvic score and satisfaction of patient. Generally, there were 9 excellent, 7 good, 4 fair and 5 bad. Amongexcellent 9patients 2 were from group A and 7 were from group B. Among 7 good results; 3 were from A and 4 were from B group. Captivatingly, there were no unsatisfactory results in group B and bad results while there were 4 fair results and 5 poor results in the group. A. This transformation is statistically very important with <0.002 p value. Conclusion:Open reduction and internal fixation with plate and screws provides best and improved results as compared with external fixator fixation for open book pelvis fractures