naa a22 4500 510818293 CHVBK 20180411083518.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12306-013-0288-6 doi (NATIONALLICENCE)springer-10.1007/s12306-013-0288-6 Surgical treatment for pelvic ring fractures in pediatric and adolescence age [Elektronische Daten] [R. Pascarella, C. Bettuzzi, V. Digennaro] Background: Fractures of the pelvis in pediatric population are extremely rare. Children with complex pelvic fractures are most often pedestrians who have been struck by a motor vehicle. Head injuries are the main cause of death, unlike the adult, where severe hemorrhages are common and contribute to mortality. Long-term follow-up studies have reported significant residual morbidity in children's pelvic fractures treated non-operatively. The aim of this study is to analyze our cases in order to evaluate the final outcome and to suggest the surgical indications for the management of this kind of injuries. Materials and methods: From January 2000 to July 2011, eight pediatric patients were surgically treated for pelvic ring fractures in our department. The functional result at follow-up was evaluated using the functional independence measure (FIM). Results: In most cases the clinical outcome was good with functional recovery of the hip and complete resumption of physical activity. The mean FIM score was 125.3. One patient underwent permanent colostomy for perineal lacerations, one case showed a slight scoliosis at follow-up, and one patient showed the early fusion of the triradiate cartilage. One patient presented a deep thrombosis of the common femoral vein. Conclusions: Fractures of the pelvic ring should be carefully assessed by radiographs and CT scan. The centralization of these young patients is important to get the experience and ensure the proper treatment. A correct indication for surgery may prevent or limit the consequences of these complex fractures. Istituto Ortopedico Rizzoli, 2013 Pelvic ring nationallicence Fracture nationallicence Pediatric nationallicence Surgical treatment nationallicence Pascarella R. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut Bettuzzi C. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut Digennaro V. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97/3(2013-12-01), 217-222 2035-5106 97:3<217 2013 97 12306 https://doi.org/10.1007/s12306-013-0288-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0288-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pascarella R. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut NATIONALLICENCE 700 1- Bettuzzi C. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut NATIONALLICENCE 700 1- Digennaro V. Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli 2, 40133, Bologna, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/3(2013-12-01), 217-222 2035-5106 97:3<217 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer