Surgery of unstable pelvic ring injuries. Trends, issues and perspectives

Abstract

Unstable pelvic ring injures can lead to unsatisfactory long-term results of up to 60% on average. Incorrect interpretation of radiological results, underestimation of the severity of pelvic injures during polytrauma lead to the rejection of urgent stabilization of the pelvis. Despite the presence of many effective methods of stabilization of the pelvic ring injures, a rather large percentage of reoperations remains both as a result of relapse displacement an as a result of nonunion of fracture and loss of fixation. The review is devoted to the analysis of the problem of diagnosis, treatment and the result of applying various methods of stabilization of the pelvic ring.