Operative treatment of traumatic pubic symphysis diastases

ABSTRACT

This work reported the results of operative treatment of 8 patients with diastasis of the pubic symphysis. 6 patients were rotationally unstable but vertically stable and 2 were both rotatory and vertically unstable. All cases were males. The average age of the patients was 28 years. All patients underwent operation according to a definite protocol for internal and/or external fixation. The average follow up was 19 months. There was no mortality. Complications included 2-pin tract discharge and one superficial wound infection. It can be concluded, that operative treatment of patients with traumatic pubic symphysis diastasis is safe, more suitably tolerated by the patients, and that early and late results are much better than those treated by nonoperative means