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Year : 1981  |  Volume : 15  |  Issue : 1  |  Page : 70-79

Conservative Treatment For Unstable Pelvic Fractures

Correspondence Address:
V. P Bansal

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Source of Support: None, Conflict of Interest: None

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The reports on pelvic fractures in the literature are scanty. Fractures of pelvis occur frequently and contribute significantly to the mortality (Mccarroll et al. 1962, Perry et al. 1964). The increased incidence of cases of unstable pelvic fractures due to high speed road traffic accidents in this part of country led us to study the results of these cases. A pelvic fracture is labeled unstable when there is disruption of the pelvic ring due to fractures at more than two places. The term double vertical pelvic fractures was suggested by Breus and Kolisko (1928) and popularized by Wester-born (1928), Wilenius (1943) and Raf (1966) for the same injury. This comprises of injuries to the pelvic ring affecting simultaneously the anterior pubic area and the posterior weight-bearing area. These pelvic fractures caused by high velocity accidents are frequently associated with simultaneous injuries to both intrapelvic viscera and to extremities (Holdsworth 1963, Levine and Crampton 1963, Moore 1966, Raf 1966). These associated injuries to viscera and extremities tend to increase the mortality figures (Froman and Stein 1967). Therefore, further analysis of the fracture pattern, concomitant injuries and overall results of treatment in this type of unstable pelvic fractures seemed worth analysis.

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