Pelvic polyfractures in children. Radiographic diagnosis and treatment

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Keshishyan RA. Rozinov VM. Malakhov OA. Kuznetsov LE. Strunin EG. Chogovadze GA. Tsukanov VE. Department for Multiple and Combined Injuries in Children, Scientific Research Institute of Paediatrics and Paediatric Surgery, Moscow, Russia. Clinical Orthopaedics & Related Research. (320):28-33, 1995 Nov. Results of clinical and radiographic examinations of 43 patients, 4 to 15 years old, with pelvic polyfractures during acute- and long-term periods of trauma, and postmortem and experimental data were presented. A high rate of diagnostic mistakes and treatment failures in patients with pelvic polyfractures are defined. Depending on the location and pattern of pelvis injuries, the main reasons for complications are determined. A technique of external fixation with the application of a pivot device for managing pelvic polyfractures in children is described. The efficacy of the proposed curative tactics is shown by treatment results of 12 patients with pelvic polyfractures.