Principle Problems of Tactics of Surgical Treatment for the Pelvic Ring Fracture

The study is based on the analysis of 596 cases of combined pelvic injury. Their clear differetiation was performed depending on the pattern and severity of the injury and the disturbance of the functional links between the segments of the pelvic ring, predominant injury, duration of shock, volume of blood loss and other factors. The indications for surgical correction of fractures in different terms after trauma are defined. Complex of diagnostic, resuscitation,surgical and rehabilitation procedures including the wide set of low traumatic methods of surgical correction for structural disturbances of the pelvic ring is substantiated. The use of the elaborated tactics allowed to decrease the acute pelvic injury mortality up to 4,6%, permanent disablement due to acetabulum cavity fractures - three times (from 37,5% up to 12%), To avoid completely the disablement resulting from the injuries of the pelvic ring alone, to shorten the total treatment duration twice in comparison to the routine methods of treatment. In 96% of patients good and satisfactory results were achieved.