Akbar M, Rana Muhammad Arshad, Muhammad Hanif, Raza Elahi Rana.
Treatment of Open Book Pelvic Fractures: Comparison between Internal and External Fixation.
Pak J Med Health Sci Jan ;6(3):662-5.

The objective of this study was to compare two different techniques of pelvic fracture stabilization i.e. external and internal fixation. A prospective randomized study was done in Department of Orthopaedic surgery, Mayo Hospital Lahore. In about 24 months (2008 to 2010), open book pelvic fractures, according to Tile’s classification were treated with two different techniques, NA external pelvic fixator and internal fixation using tension band wiring. Data was collected according to protocol of a Performa and analyzed using SPSS software & chai square test. 20 cases with open book were recruited for the study. These patients were grouped into A and B equally. 10 patients in group A were treated with NA external fixator and 10 with O.R.I.F. using tension band wiring in group B. The total duration of follow up was 6 months for each group. Patients were followed up clinically and radiologically using patient satisfaction and Majeed pelvic score. In Group A, there was 1 excellent result, 2 good, 3 fair and 4 poor results while in Group B, 6 excellent, 4good, 0 each for fair and poor results. Our study shows better results in management of Open Book pelvic fractures treated with Open Reduction and Internal Fixation with Tension Band Wiring technique.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com