• Zhi-wei Chen, Le-zhong Yang, and Chun-lei Liu.
• Department of Orthopaedics, First Affiliated Hospital of the University of South China, Hengyang 421001, Hunan, China. CZW9915@tom.com
• Zhongguo Gu Shang. 2011 Feb 1; 24 (2): 119-22.

ObjectiveTo study the clinical results of surgical treatment for Tile C type pelvis fractures with internal fixation by posterior approach.MethodsFrom January 2005 to June 2009, 12 patients with Tile C type pelvis fracture were treated by open reduction through posterior approach. There were 8 males and 4 females, with an average age of 39.5 years ranging from 25 to 58 years. The time from injury to operation was ranged from 7 to 10 days with an average of 9.5 days. All the patients were given X-ray, 3-D CT examinations before operation. The fracture were classified by Tile classification: Type C1 in 5 cases, Type C2 in 2 cases, Type C1 and Type C2 in 4 cases, Type C3 in 1 case. All the posterior rings were fixed by re-establishing steel board without anterior ring fixation after stabilization of body condition. All the patients were treated with skin traction for 3 weeks after operation.ResultsAll 12 patients were followed up for 6 months to 24 months with an average of 12.6 months. All the incisions healed well, and the fractures got union. No pelvic malunion, low back pain or leg length discrepancy was found. According to Majeed criteria for the evaluation of therapeutic effect, 10 patients were excellent, and 2 were good.ConclusionIn the management of the Tile C type pelvis fractures, a stable pelvis can be reconstructed by fixing posterior ring simply through the posterior approach, so that further sequelae can be reduced.

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