Pervaiz Anjum, Nayyar Qayyum.
Experience of fixation of pelvic fractures in mass disaster - A study of 23 cases of sacroiliac joint dislocation.
J Pak Orthop Assoc Jan ;20(1):88-93.

Objective: To study and evaluate the clinical result of sacroiliac joint dislocation in female patients and its outcome after fixation. Study Design: Prospective. Place and Duration of Study: Department of orthopaedic surgery, Rawalpindi General Hospital, Rawalpindi during earthquake, from 8 october 2005 to 30 October 2005. Patients and Methods: Surgery on Sacroiliac joint injuries is the time demanding surgery that requires skills and thorough knowledge of surgical Anatomy of pelvic ring. Twenty threecases of sacroiliac joint dislocation were managed during the Earthquake disaster. Eighteen patients had fixation with the reconstruction plate, 2 patients had fixation with Kwires only due to massive per-operative bleeding and 3 patients were managed conservatively because of their late presentation after 3 weeks of Earthquake. Open reduction and internal fixation is the ideal way to treat the SI joint dislocation in order to prevent shortening mal-union and marked pelvic tilt. Anatomical reduction is the basic aim in the management of all SI joint injuries. Most of the patients were female and because of the child bearing age of all the patients, true anatomical reduction of the joint and restoration of the length of limb were the main aim during the surgery. Postoperative physiotherapy has the major role in the achievement of good results. Results: Twenty three patients were included in this study, all patients were females with good results in 16 cases, fair results in 3 cases and 1 case had poor result due to its late presentation. Conclusion: All sacroiliac joint dislocation should be fixed to prevent complications especially in young patients and those female patients who are in child bearing age.

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