Abstract book 6th RMS 16.indd

The “ Majeed “ system was used / quoted
in about 200 published papers ,so far . An
important ( but much under-estimated )
aspect In pelvic fractures management
is the neurological deficits complicating
these fractures .This will be briefly shown
based on my paper published in 1992 in
Journal of clinical Orthopedics & Related
Research ( USA).
The long impressive march in pelvic
fractures management should not wane
or stop.
298
Surgical Intervention of Pelvic &
Acetabular Fractures
Hazem Al-Magableh MD (Jordan)
Surgical Intervention of Pelvic & Acetabular
Fractures
Hazem M. Al-Magableh MD*, Raed .M. Al-
Zaben .MD Fadi .M. Rousan. MD
* MD, MRCS.Orthopedic Specialist (Jordan)
hazem2noor@yahoo.com
Objectives: Surgical management of
pelvic(anterior ring and posterior ring
fractures) as well as acetabular (anterior
and posterior column and walls fractures) is
recently considered to be the ideal solution
to such injuries to overcome the well
known complication of being bed ridden
for a long period and to get the patients
as early as possible to pre-injury status
especially if the patients are demanding
people .although few complication may
happen with regard to surgery itself ,,, still
advantages outweigh the risks or surgical
complication compared to conservative
management of such tremendous trauma
to pelvis .
Methods: Thirty two cases of pelvic
(anterior ring and posterior ring fractures)
as well as acetabular (anterior and posterior
column and walls fractures) over a period
of three years were done for patients ages
ranging from 21-58 yr old and mostly for
demanding medium to high profile people,
using anterior plus –minus posterior
approaches, with no pre-operative or
post-operative limb traction done .87 %
of cases done within the ideal period of
fixation
Results: 24 cases(75%) went well without
complication , 4 cases(1 %) resulted
in superficial infection. 4 cases(1%)
had complication of post-traumatic hip
arthritis. 2 cases of below knee DVT (0.06
%).
Conclusion: Surgical management still
found to be golden solution for such
injuries with good outcome if done in the
golden period (5-7) days post-injury and
immediately if the patient has any kind of
hip dislocation.
299
Pelvic Ring and Acetabular Fractures
Ahmed Abuhazeem MD, Consultant of orthopedic,
Prince Hamzeh hospital and private
sector (Jordan)
drahmedhazaimeh@yahoo.com
Objectives: The purpose of this study
was to review our experience in surgical
treatment of patients with pelvic ring and
acetabular fractures.
Methods: Analysis of 40 cases was carried
out. Indications for operation were
types B and C pelvic ring fractures and
unstable fractures of the acetabulum.
Among our patients for those with both
columns fracture, SI joint disruption
and comminuted fracture of iliac wing
ORIF by reconstruction plate and screws
through ilioinguinal extraperitonial
approach was carried out along with
additional percutaneous approach for
fixation of SI joint by 2 screws. For
patients with symphysis pubis disruption
and anterior wall fracture ORIF by plates
and screws was carried out. Patients with
comminuted fracture of the posterior wall
of the acetabulum, hip dislocation and
intertrochanteric fracture of the femur
open reduction for the femoral head with
internal fixation by plate for the posterior
wall and proximal femoral LCP plate for
intertrochanteric fracture was carried out.
Results: 32 cases were reduced
completely while 8 cases were reduced
partially. After following up 1 to 6 years,
29 cases recovered completely,7 cases had
satisfactory outcome and the other 4 cases
had different degrees of symptoms with
restriction of motion. Surgical treatment
provided great fixation and stability.
Conclusion: Proper treatment of pelvic
injuries requires careful assessment of the
type of injury and the degree of stability of
the pelvis.
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