To study the outcome of sacro-iliac percutaneous screw fixation in unstable fractures of pelvic injuries

Abstract

Percutaneous fixation of sacroiliac joint fractures and closed reduction gives advantages of limited blood loss, minimal invasion of compromised soft tissue, decreased infection rates and reduced operation time. The purpose of this study is to determine the outcome of sacroiliac percutaneous screw fixation of pelvic injuries in unstable fractures.This study was conducted at Tirunelveli medical college hospital from 2017 to 2019 in patients underwent sacro-iliac percutaneous screw fixation in unstable fractures of pelvic injuries. Functional assessment of patients with Pelvic fractures was assessed by Majeed Score Scale. Patients follow up was taken at 4, 8, 12 weeks, 6 months and 1 year. The study included 22 patients with ages ranged from 16-70 years with the mean age range of 39 years with 16 males and 6 females. Mode of injury was a road traffic accident in 86.36% of cases and fall from height in 13.64%. As per the Majeed scoring system all patients were clinically evaluated. The overall Majeed score was excellent in 77.27%, while good in 13.63% and poor in 9.09% of cases. As per Matta and tornetta postoperative radiological evaluation was carried out. Percutaneous iliosacral screw fixation and anatomic reduction give better stability in unstable sacroiliac joint injuries allowing good functional outcomes and early mobility. For sacral fracture and sacroiliac, joint injury with C arm guidance percutaneous iliosacral screw fixation is a minimally invasive and safe technique.