Differentiated approach to treatment injuries the bones of pelvis

The article is devoted to the treatment of pelvic injuries. While choosing the method of treatment and peculiarities of the configuration of fixation device, the authors take into consideration, according to М.Тіle AO ASIF (1985) classification, a biomechanical nature of pelvic ring injury. Such approach to the treatment of this category of patients allowed to obtain excellent and good results in most of the cases. The compression fractures of the lateral masses of the sacrum often occur when a traumatic force affects on the side. For fixation the fracture of the lateral mass of the sacrum it is enough to use two rods placed transarticular with the additional fixation of the iliac bones in neutral position. The complication in the form of the soft tissues inflammation around the rods was observed in three cases, which was stopped for a few days, it didn’t require the refixation of the device and didn’t affect on the outcome of the treatment. The clinical neurotis of the peroneal portion of the sciatic nerve was observed in one observation of the postoperative period. The minimum traumatism and short duration of the operative treatment allow to provide the operative stabilization of fractures for the first hours after trauma concurrent with the surgery in other cavities and segments. The differentiated approach to the treatment of fragile pelvic injuries allowed to reduce a number of the early and late complications.