There was conducted analysis of treatment 406 patients with the unstable damages of pelvis at polytrauma, which were treated in the Clinical Hospital of First Medical Aid from 2000 to 2014: of them the basic group of research was 137 (33,74%) patients, the control — 269 (66.26%). Lethality was 44.53% and 69.9% correspondingly. In the basic group there was conducted the differentiated surgical management of treatment on the basis of estimation of severity of trauma, prognosis of the clinical course of disease. In the acute period of trauma (1–2 days) the external fixing of pelvis at admition was executed in 72 (52.55%) patients of the basic group, and only in 62 (23.05%) of the control one. At the early and late periods (3–7, 8–14 days) сorrelation of external and internal osteosintesis of unstable pelvis in the patients with polytrauma in the basic group was 1:1,75, in control — 2,6:1. Statistically internal osteosintesis conducted on 4th–21st day after trauma is the most effective after functional results, at operations the amount of “satisfactory” results is increased in more late terms (12, 18, over 24 months) — to 55.63% for damage type C and to 37,54% for type B.
