Treating unstable pelvic posterior ring fractures with percutaneous reconstruction plate and percutaneous sacroiliac screws.

Abstract

Objective To explore the clinical effects of percutaneous reconstruction plate and percutaneous sacroiliac screws in the treatment of unstable pelvic posterior ring fractures.Methods Fifty-eight patients with unstable pelvic posterior ring fractures underwent percutaneous reconstruction plate and percutaneous sacroiliac screws from March 2002 to October 2007.They were divided into 2 groups according to 2 kinds of internal fixations:percutaneous reconstruction plate(20 males and 9 females,with the mean age of 37.3±11.3 years)and percutaneous sacroiliac screws (21 males and 8 females,with the mean age of 39.3±10.4 years).Thirty-eight cases were caused by motor vehicle aecident,17 by fall from height and 3 by crush.The data of operative time,X-ray exposure frequency,intro-operative blood loss,length of incision,post-operative Majeed smndards and post-operative complication were recorded and analyzed statisticaIly using the SPSS 15.0 software package.Results All patients were follow up 12-36 months(mean 21.3 months)in 58 patients.There were significant differences in operative time,X-ray exposure frequency,intro-operative blood loss and length of incisiou between the two groups.According Maieed standards,the excellent and good rate was 86.1%in reconstruction plate,and 88.2%in sacroiliac screws.Conclusion Unstable pelvic posterior ring fractures could be treated successfully with percutaneous sacroiliac screws and percutaneous reconstruction plate.There were no significant differences in clinical outcomes between the two groups.However,percutaneous reconstruction plate shows some advantages,such as less operative time,less fluoroscopy time and less complication. Key words: Pelvis; Fractures; Bone screws; Bone plates