Substantiation of selecting the ways of surgical treatment of pelvic bilateral injuries
The analysis of surgical treatment of 48 patients with bilateral pelvic injuries was performed. The problems specific for bilateral pelvic injuries were evaluated, and on the basis of these problems the rational ways of such injury surgical treatment were developed depending on injury type and the period of time elapsed after injury. The external fixator of the authors' original design was used for reposition in most patients (40/48). Immediate and long-term results were studied in 48 patients, follow-up varied from 1 to 5 years. Excellent anatomical results were obtained for class В3 injuries in 86.7 % of cases, for С2 in 80 %, С3 37.5 %. Excellent and good functional results according to Mageed at 1 year after surgical treatment amounted to 77 % (37/48). In the group of rotationally instable injuries positive results amounted to 87 % (26/30), in that of vertically instable injuries 61 % (11/18). Thus, the technique proposed and the ways of surgical treatment have allowed to obtain comparable results in comparison with unilateral injuries despite the greater severity of injuries.