The application value of damage control orthopedics surgery in the management of unstable pelvic fractures / 中国基层医药

ABSTRACT

Objective To investigate the application value of damage control orthopedic surgery in the man-agement of unstable pelvic fractures.Methods From January 2011 to December 2015,107 patients with unstable pelvic fractures were retrospectively studied.All patients were signed into the damage control surgery group (59 cases)or open reduction and internal fixation in stage I group (48 cases).The postoperative complications, Lindahl evaluation of the quality of fracture reduction,Majeed function score,hospital duration and mortality were observed.Results Compared with the open reduction and internal fixation in stage I group,patients in the damage control surgery group got a significantly lower rate of multiple organ dysfunction (23.73% vs.45.84%,χ2 =5.793, P =0.016);a higher excellent and good rate of Lindahl evaluation of the quality of fracture reduction (93.22% vs. 79.17%,χ2 =4.597,P =0.032 );a higher level of Majeed function score three months after the operation [(84.41 ±10.33)vs.(74.85 ±10.72),t =4.678,P =0.000];and a higher rate of hospital mortality(15.25% vs. 31.25%,χ2 =3.892,P =0.049).There were no differences between the two groups in sepsis,disseminated intravas-cular coagulation,pulmonary embolism,deep vein thrombosis,pulmonary infection,intestinal obstruction and hospital duration (all P >0.05).Conclusion Damage control orthopedic surgery reduced the postoperative complications of unstable pelvic fractures,improved the pelvic function recovery,and decreased the hospital mortality.