Efficacy of Sacroiliac Joint Anterior Approach with Double Reconstruction Plate and Computer Assisted Navigation Percutaneous Sacroiliac Screw for Treating Tile Cl Pelvic Fractures

TAN Zhen, FANG Yue, ZHANG Hui. et al

Abstract

To compare the efficacy of sacroiliac joint anterior approach with double reconstruction plate and computer assisted navigation percutaneous sacroiliac screw for treating Tile C1 pelvic fractures. Methods Fifty patients with pelvic Tile C1 fractures were randomly divided into two groups ( n=25 for each) in the orthopedic department of West China Hospital of Sichuan University from December 2012 to November 2014. Patients in group A were treated by sacroiliac joint dislocation with anterior plate fixation. Patients in group B were treated with computerized navigation for percutaneous sacroiliac screw. The operation duration, intraoperative blood loss, incision length, and postoperative complications (nausea, vomiting, pulmonary infection, wound complications, etc.) were compared between the two groups. The postoperative fracture healing time, postoperative patient satisfaction, and postoperative fractures MATTA scores (to evaluate fracture reduction), postoperative MAJEED function scores, and SF36 scores of the patients were also recorded and compared. Results No significant differences in baseline characteristics were found between the two groups of patients. All of the patients in both groups had their operations successfully completed. Patients in group B had significantly shorter operations and lower intraoperative blood loss, incision length and postoperative complications than those in group A ( P<0.05). Patients in group B also had higher levels of satisfaction than those in group A ( P<0.05). No significant differences were found between the two groups in postoperative followup time, fracture healing time, postoperative MATTA scores, postoperative MAJEED function scores and SF36 scores ( P>0.05). Conclusion Sacroiliac joint anterior approach with double reconstruction plate and computer assisted navigation percutaneous sacroiliac screws are both effective for treating Tile C1type pelvic fractures, with similar longterm efficacies. However, computer assisted navigation percutaneous sacroiliac screw has the advantages of less trauma, less bleeding, and quicker [...]

 

Keywords: Pelvic fracture, Tile C1 type, Percutaneous sacroiliac screw, Double steel plate, Computer navigation 

 

Full Text:

PDF


References


ROMMENS PM. DIETZ SO, OSSENDORF C, et al. Fragility fractures of the pelvis; should they be fixed? Acta Chir Orthop Traumatol Cech,2015,82(2); 101-112.

SCHILDHAUER ТА. Lumbopelvine fixation in posterior pelvic ring fractures and lumbosacral instability. Unfallchirurg,2013,116(11):970-981.

MOUHSINE E, GAROFALO R. BORENS O, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury ,2005,36С11): 1330-1336.

DEITELZWEIG SB. MCKEAN SC, AMIN AN, et al. Prevention of venous thromboembolism in the orthopedic surgery patient. Cleve Clin J Med, 2008, 75 ( Suppl 3 ); S27- S36.

SCHWEITZER D, ZYLBERBERG A, CORDOVA M, et al. Closed reduction and iliosacral percutaneous fixation of unstable pelvic ring fractures. Injury.2008.39(8) :869-874.

GIANNOUDIS PV, TZIOUPIS CC, PAPE HC, et al. Percutaneous fixation of the pelvic ring: an update. J Bone Joint Surg Br,2007,89(2): 145-154.

MOUHSINE E, GAROFALO R. BORENS O, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury,2005,36( 11); 1330-1336.

GUI MAR AES RP, DE GOES RIBEIRO A, ULSON O, et al. Supra-acetabular fixation and sacroiliac screws for treating unstable pelvic ring injuries; preliminary results from 20 patients. Rev Bras Ortop,2016,51(2); 132-137.

CHEN HW, LIU GD, FEI J, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci,2012,17(5) :580-587.

GRAS F, MARINTSCHEV I, WILHARM A, et al. 2D- fluoroscopic navigated percutaneous screw fixation of pelvic ring injuries a case series. BMC Musculoskelet Disord. 2010,11:153. doi; 10. 1186/1471-2474-11-153.

HONG G, CONG-FENG L, CHENG-FANG H, et al. Percutaneous screw fixation of acetabular fractures with 2D fluoroscopy-based computerized navigation. Arch Orthop Trauma Surg,2010,130(9) ; 1177-1183.

CHEN HW, LIU GD, FEI J, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci,2012,17(5) ;580-587.

YUKH, HONG JJ, GUO XS, et al. Comparison of reconstruction plate screw fixation and percutaneous cannulated screw fixation in treatment of Tile B1 type pubic symphysis diastasis; a finite element analysis and 10-year clinical experience. J Orthop Surg Res, 2015, 10; 151. doi; 10. 1186/sl3018-015-0272-y.

ZHANG J. HAMILTON R, LI M, et al. Evaluation of partial cut-out of sacroiliac screws from the sacral ala slope via pelvic inlet and outlet view. Spine (Phila Pa 1976>,2015, 40(24);E1264-E1268.

LEIGHTON RK, WADDELL JP. Techniques for reduction and posterior fixation through the anterior approach. Clin Orthop Relat Res, 1996,329:115-120.


Refbacks

  • There are currently no refbacks.