J Med Assoc Thai 1999; 82 (7):637

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Immediate Stabilization of Unstable Pelvic Fractures Versus Delayed Stabilization
Waikakul S Mail, Harnroongroj T , Vanadurongwan V

To compare the immediate and long term outcome of immediate stabilization of the unstable
pelvic fractures to delayed stabilization with simple external fixation, the study was carried out as
a paralell trial with 2 year follow-up. There were 112 patients with 69 males and 43 females who
had unstable pelvic fractures. They were allocated randomly into 2 groups. In group I, 40 patients.
conventional management was performed while in group 2, 72 patients, reduction and anterior stabilization
of pelvic fractures with a simple external fixator were carried out immediately just after
the unstable fractures were detected.
Blood transfusion, post operative pain, need of reconstructive surgery of the pelvic fractures
and late deformities were less in the group 2. Immediate anterior reduction and stabilization of
the unstable pelvic fractures gave encouraging results.
Key word : Pelvic Fractures, External Fixation, Post-operative Pain Control, Stabilization of Pelvic Fractures

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