MANAGEMENT OF DUVERNEY FRACTURES

Abstract

Isolated iliac wing fractures are rare with one of the first descriptions of such an injury reported by Duverney. AIM - Aim of our study is to analyze and discuss the  functional improvement, early mobilization, clinical outcome of the iliac wing fractures managed by recon plating and K wires. MATERIALS AND METHODS - We treated 5 patients of  isolated iliac wing fractures in our Government General  Hospital, among them all 5 are male patients, all underwent Road Traffic Accident 4 are Closed 1 was Compound. Duration between admission and Surgery is 15 days. In Post OP Follow up we assess the clinical outcome of patients by MAJEED Pelvis Scoring System. RESULTS - In our study out of 5 patients 4 were closed and one was compound. 4   patients treated by ORIF with recon plating. One patient by k wire fixation. No mortality and morbidity associated with iliac wing fractures. All patients were hemodynamically stable. DISCUSSION - The fracture pattern depends upon the  direction of the applied forces. Arterial injury specially the iliac, lateral iliac and gluteal arteries are potentially at risk with iliac bone fractures. Associated life-threatening injuries must not be missed. A high index of suspicion for arterial lesions, as well as organ injury is the most important clinical                recommendation. Treated pts had improved MAJEED                  pelvic score.