Skip to main content
. 2024 Jun 5;52:101050. doi: 10.1016/j.tcr.2024.101050

Table 2.

Details of type of fracture and soft-tissue surgery, complications <30 days, and re-operations <30 days and >30 days of the individual paediatric patients with an Open Pelvic ring fracture.

Treatment Details ORIF Surgery soft-tissue injuries Complications Re-operation < 30 days Re-operation > 30 days
1 EXFIX, then ORIF Anterior plate + posterior 2× SI-screw Colostomy and repair perineum,
anal sphincter
SIRS, hypovolemic shock,
ileus, infected OSM
Multiple VAC dressings + wound nettoyage + fixation humerus Fx Multiple VAC changes + wound nettoyage + reversal colostomy + removal SI-screw + SSG upper leg
2 EXFIX, then ORIF Posterior 1× SI-screw Repair bladder rupture Compartment syndrome
3 EXFIX, then ORIF Posterior 2× SI-screw Wound debridement right Pelvic crista
4 EXFIX Colostomy and repair vagina, rectum,
anal sphincter, perineum
UTI Reversal colostomy
5 ORIF Anterior plate Wound debridement left Pelvic crista Pulmonary embolism
6 EXFIX, then ORIF Anterior plate + posterior 2× plate
over SI-joint +1× SI-screw
Colostomy and ALT free flap for
soft-tissue coverage
Abces Abces drainage Abces drainage + revision and reversal of colostomy
7 ORIF Posterior 1× plate ilium +2× SI-screw Repair rectum, vagina, perineum
8 ORIF Anterior plate + posterior 2× SI-screw Repair vagina Vaginitis, wound infection Removal of OSM
9 EXFIX, then hemipelvectomy Colostomy Vaginal reconstruction
10 Conservative Colostomy Wound infection Reversal colostomy
11 EXFIX Colostomy and repair urethra, perineum Reversal colostomy

ALT, anterolateral thigh; EXFIX, external fixation; Fx, fracture; ORIF, Open reduction internal fixation; OSM, osteosynthesis material; SSG, split skin graft; SIRS, systemic inflammatory response syndrome; UTI, urinary tract infection; VAC, vacuum assisted closure.