| Summary: | Introduction. Pelvic ring injuries usually result from highenergy trauma,
and cranial and abdominal multiple injuries are frequently present. Malgaigne
fracture is referred to pelvic ring disruption at two sites, and is often
treated surgically for its instability. We present a case of nonoperative
treatment of Malgaigne pelvic fracture. Case Outline. A 17yearold girl
sustained a Malgaigne fracture falling off a horse. After ruling out urgent
multiple trauma in local hospital, she was then transferred to Pediatric
Orthopedic and Trauma Service at the Institute of Orthopedic Surgery
«Banjica» Belgrade, with provisional cutaneous traction of 2 kg applied to
her right leg. After the status evaluation, the supracondylar femoral
traction was applied for three months, combined with pelvic cradle for first
73 days. Weight of traction was gradually adjusted according to xray
checkup, ranging from 116 kg (1/4 of body weight). Antibiotic prophylaxis
was administered for 10 days, and thromboprophylaxis for two months. After
the removal of traction, physical therapy was applied and the patient
achieved full weight bearing four months after the injury. Treatment outcome
was a symmetric and stable pelvic ring, equal leg length, full range of
motion in both hip joints and normal walking. Conclusion. Traction therapy,
combined with gravitational suspension in pelvic cradle, resulted in
excellent clinical result. Although significantly longer and more loaded than
usual, normal weight bearing and walking were promptly achieved using
intensive physical therapy. [Projekat Ministarstva nauke Republike Srbije,
br. III 41004]
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