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.