SURGICAL TREATMENT OF UNSTABLE INJURIES OF THE POSTERIOR PELVIC RING. LITERATURE REVIEW
Introduction. A variety of pelvic ring injuries are not only an urgent and complex problem of modern traumatology, but also a serious medical and social problem. Fractures and damage to the pelvic ring are relatively rare, but with the growth of various injuries, their number is steadily increasing. The treatment of pelvic fractures is one of the most difficult tasks in orthopedic surgery. Poor treatment outcomes in the long term can range from 30 to 60%. Given the current situation, it is necessary to agree with the need for a thorough study of the problem of pelvic damage and its treatment.
Goal. Analysis of literature data on methods of surgical treatment of unstable damage to the posterior pelvic ring.
Research Methods. The search for scientific information was carried out in the Google Scholar, PubMed, e-library and the “manual method” databases. The following search strategies were used in PubMed (MeSH Terms: “posterior pelvic ring, sacrum, sacroiliac joint, fractures, surgical treatment”). The search depth is 10 years, from 2009 to 2019. Inclusion criteria: full-text publications, clinical randomized and non-randomized trials. Exclusion criteria: summary of reports, newspaper publications, personal communications. In total, more than 2600 sources were found, of which 97 were selected for subsequent analysis.
Results. The modern principle of treatment for damage to the pelvic bones is active surgical tactics and early functionally stable osteosynthesis, the main purpose of which is the restoration and stabilization of the pelvic bones. Some Russian authors prefer methods of external fixation in the treatment of pelvic injuries, while foreign authors prefer methods of internal stable functional osteosynthesis. It should be noted that various methods of fixing damaged posterior pelvic ring structures are currently being applied, which are characterized both on the positive side and have a number of disadvantages.
Findings. Given the above facts, it is necessary to agree with the need for a thorough study of the problem of pelvic damage and its treatment. The question of the development of new methods and devices for the surgical treatment of bone damage and articulation of the pelvic ring remains relevant. Prospective clinical trials are needed to evaluate their clinical efficacy and safety.
Number of Views: 877
Category of articles:
Reviews
Bibliography link
Kassymov K.T., Tlemissov A.S., Zhunussov E.T., Toktarov E.N., Tlebaldyeva A.T. Surgical treatment of unstable injuries of the posterior pelvic ring. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 5, pp. 11-22.Related publications:
ANALYSIS OF ANTIBIOTIC PRESCRIBING PRACTICES IN PRIMARY HEALTH CARE SETTINGS. PART
GENETIC SUSCEPTIBILITY TO RADIATION-RELATED DISEASES: A REVIEW OF CURRENT LITERATURE
ТЕНДЕНЦИИ ЗАБОЛЕВАЕМОСТИ ИНФЕКЦИОННОГО ЭНДОКАРДИТА ПОСЛЕ ОБНОВЛЕНИЯ МЕЖДУНАРОДНЫХ РУКОВОДСТВУЮЩИХ ПРИНЦИПОВ. ОБЗОР ЛИТЕРАТУРЫ
СРАВНЕНИЕ МЕТОДОВ МОДЕЛИРОВАНИЯ РЕЦЕССИИ ДЕСНЫ НА ЛАБОРАТОРНЫХ ЖИВОТНЫХ
THE ROLE OF ESSENTIAL AND TOXIC TRACE ELEMENTS IN THE DEVELOPMENT OF KIDNEY STONE DISEASE. LITERATURE REVIEW