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이준규,류천환 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2
Massive pelvic disruption is an important and aften life threatening injury. The goals of orthopedic management of pelvic bone injuries are mobilization of parient as early as possible by achieving anatomical reduction and secure fixation of fragments. The authers reviewed 26 cases of unstable pelvic bone fracture treated at the orthopedic department of Chung Nam National University Hospital during the period from January 1985 to August 1990. The injury was classified according to the Pennal and Bucholz method and analyzed the causes of injury, methods of treatment. The results were obtained as follows. 1. The highest incidence was in the 3rd decade and sex ratio between male and female was 6:7. 2. The causes of injury were traffic accidents, fall down, motor bicycle accidents, industrial accidents in order of frequency. 3. According to classification of Pennal et al, type II fracture due to lateral compression injury was most common(68%). According to classification of Bucholz, type II fracture was most common(77%). 4. The fracture of tibia or fibular was most commonly associated bone injury and the most common associated soft tissue injury was genitounary tract injury. 5. 10 cases of Bucholz type II were treated with external fixation with internal fixation or internal fixation. 6 cases of Bucholz type III were treated external fixation or external fixation with internal fixation or internal fixation. 6. The result analysed by grading the outcome of pelvic fracture proposed SAID ABDUL MAJEED were excellant, good, fair, poor; 4, 6, 4, 0, in operative cases, 0, 3, 3, 4 in conservative cases. 7. The average weeks of immobilization were 6 in operative cases, 12 in conservative cases. 8. Even unstable pelvic bone fracture, we recommend early anatomical reduction and secure fixation with operative management.