Functional outcome of pelvic fractures in children

Authors

Abstract

Objective
The objective of this study was to assess the early radiological and functional outcome of either conservatively or surgically treated pediatric pelvic fractures.
Patients and methods
This was a prospective study of pediatric patients with pelvic fractures resulting from high-energy trauma. Management was either conservative or surgical. Score-based functional outcome assessment was done.
Results
A total of 30 patients were enrolled in the study. Of them, 20 patients were managed conservatively and 10 patients were surgically treated. We had three mortality cases. The mean follow-up period was 9 months. Functional outcome score was 74 for conservative and 70 after operative treatment according to Majeed score. Limb-length discrepancy, back pain, skin macerations, infection, and nerve injury were the encountered complications.
Conclusion
Pediatric pelvic fractures classified as Tile A or B can be successfully managed conservatively. All vertically unstable fractures should be reduced and fixed as the pediatric pelvis has a very limited remodeling power for this type of fracture.

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