OUTCOME OF ROTATIONALLY UNSTABLE PELVIC RING INJURIES TREATED OPERATIVELY

Twenty-nine patients with unstable rotational injuries treated operati vely were observed for an average of 39 months. There were 24 associat ed orthopaedic injuries. Twenty-seven patients had symphysis disruptio n (4 with rami fractures) and 2 had rami fractures associated with an acetabular fracture. Followup evaluation of those who could be evaluat ed in each category revealed that 96% had no pain or pain only on stre nuous activity, ambulated without assistance or limitations, and retur ned to work, Open reduction and internal fixation of rotationally unst able pelvic fractures results in a high functional success rate.