Surgical correction of the pelvis after malunited pelvic fracture.

Mal-union and non-union of the pelvic bones is a complicationof treatment its injuries, which mostly occur with 61C fracturesaccording to AO/OTA classification. Objective. To analyzethe results surgical female patient fracturethat has healed residual deformity (shortening, posteriordisplacement, internal rotation right external tothe left) demonstrate importance careful planning withthe involvement 3D modeling in cases reconstructive surgeryafter fracture. Methods. The study form clinicalcase description. were evaluated accordingto IPS score. During examination, multiple fracturesof dislocations corresponding type 61 C3 classification revealed. After CT scanof pelvis reconstruction, 3-stage interventionwas planned performed. first stage: 2 K-wires percutaneouslyinserted through left sacroiliac joint at SI-SII level area osteotomy sacrum; paramedianaccess, longitudinal sacrum was performedon previous fracture mobilizationof lateral fragment. second: transection symphysis,osteotomy pubic bone site improper fusion, repositioning,fixation simulated plate standardscrews; reposition semiring. third: adequateclosure posterior wound. For control, scan pelvisand comparative evaluation main projections images on3D reconstruction frontal sections 4 months afterthe operation, carries out full axial load no painsyndrome continues rehabilitation aimed returning correctstereotype gait. functional result estimated 90 pointson scale. Conclusions. Late correction difficultto perform associated large number possible severecomplications. Careful preoperative key for pelvicfractures their consequences. best method preventionof late reconstructions correct initial definitive treatment.This requires presence specialized medical centers withexperts specializing fractures, necessaryequipment defined protocol