Results of open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable pelvic ring injuries: retrospective study of 36 patients.

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Serval ID
serval:BIB_AEF80A480223
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Results of open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable pelvic ring injuries: retrospective study of 36 patients.
Journal
European journal of orthopaedic surgery & traumatology
Author(s)
Abou-Khalil Sami, Steinmetz Sylvain, Mustaki Laurent, Leger Bertrand, Thein Eric, Borens Olivier
ISSN
1633-8065 (Print)
ISSN-L
1633-8065
Publication state
Published
Issued date
2020
Peer-reviewed
Oui
Volume
30
Number
5
Pages
877-884
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Surgical stabilization of posterior pelvic ring fractures can be achieved by closed reduction and percutaneous fixation (CRPF) or by open reduction and internal fixation (ORIF). The aim of the present study is to compare the clinical results of both methods.
Medical records of 36 patients consecutively operated for unstable pelvic ring injuries were retrospectively reviewed. We compared 22 patients treated with CRPF versus 14 patients stabilized by using ORIF between 2007 and 2017. The Majeed and Pohlemann scores were used to evaluate postoperative functional outcomes. Complications like blood loss, infection rate, Neurological injury, the operative time and the length of hospital stay were analyzed.
The median Majeed pelvic score was 87 points for the CRPF technique compared with 69 points for the ORIF technique. The median Pohlemann score, operative time and length of hospitalization were similar between the two groups. The median blood loss for the CRPF technique was 300 ml compared to 500 ml for the ORIF technique. CRPF and ORIF procedure had each one neurological lesion. There was one case of infection in the ORIF group and none in the CRPF group. No measurements except for the blood loss have reached the significance threshold.
The CRPF technique shows a clear decrease in blood loss. There was no statistically significant difference in the functional results, infection rate, neurological injury, operative time and hospital stay between both techniques.
Keywords
Iliosacral fracture/dislocation, Majeed score, Percutaneous iliosacral screw fixation, Pohlemann score, Unstable pelvic ring injury
Pubmed
Create date
04/12/2020 9:37
Last modification date
05/12/2020 7:10
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