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Observation on closed reduction and internal fixation with external fixation in treating unstable pelvic fracture

Wei-Zhou, Jun-Dai, Jing you-Chen, Song-Huang, He wei-Li

Objective: To explore the clinical effects of percutaneous anterior screw fixation and external fixation on unstable pelvic fracture.

Methods: 80 patients with unstable pelvic fracture from January 2013 to 2015 were selected and then divided into study group and control group according to random number table. The control group was given an open reduction internal fixation and study group was given percutaneous anterior screw fixation and external fixation. Compared surgery time, blood loss of operation, iconography complete recovery time, complete load walk time, comprehensive clinical effects and complications after surgery of patients in two groups.

Results: Surgery time, blood loss of operation, iconography complete recovery time, complete load walk time in the study group were better than patients in the control group (P<0.05). Good rate of the study group was 95.0%, 70.0% in the control group, the study group was better compared with the control group (P<0.05); Complication rate after surgery is less than the control group obviously (P<0.05).

Conclusion: The therapeutic effects of closed reduction internal fixation and external fixation are better. Short surgery time, subtle wound, low bleeding, all meet modern surgical minimally invasive concept, which can be applied to clinic.