Fractures of the pelvis classification and treatment of a life-threatening condition - abstract

ABSTRACT

Fractures of the pelvis have long presented an enigma in classification, diagnosis and treatment. Traditional radiographs done in A.P. and lateral projection do little to demonstrate the three dimensional problems presented in these injuries. A method of radiographical investigation easily done by traditional X-ray equipment readily available in all hospitals is presented which allows the understanding of these injuries. A classification of the different types of fracture is presented and a treatment method for the fractures is identified. The Pennal classification of pelvic fractures into the following categories allows an understanding of the mechanism of the process producing the injury, of the displacement of the fragments and allows the development of techniques of treatment. Fractures are classified in relation to the deforming forces as follows- (1) A.P. compression fractures (2) Lateral compression (i) without rotation (ii) with rotation (3) Vertical shear fractures. Techniques of reduction - closed and open - are demonstrated to be effective methods with which to reduce and maintain reduction. Fracture fixation allows control of the otherwise unstable situation and allows mobilization of the patient with attendant reduction in morbidity and mortality (AU)