The Internal Fixation of Symphysis Pubis Diastasis

Objective:To report the therapeutic effectiveness of open reduction and internal fixation for symphysis pubis diastasis in pelvic fractures and explore the role of that procedure.Methods:From Apr.1995 to Jan.2001,14 patients with symphysis pubis diastasis were treated in the department.All cases underwent open reduction and internal fixation with reconstruction plates through Pfannenstiel approaches.Pelvic pain,gait and pelvic morphology were inspected and followed up.Results:All patients obtained anatomic reduction and resumed pelvic morphology.The post-operative results were satisfactory through an average of 19 months following up despite three patients existing pelvic pain behind symphysis pubis.Conclusion:Open reduction and internal fixation can repair pelvic morphology and biomechanical characteristics and it is an effective method for the treatment of symphysis pubis diastasis in pelvic fractures.