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Comparative Study
. 2020 Jul;30(5):877-884.
doi: 10.1007/s00590-020-02646-x. Epub 2020 Mar 5.

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

Sami Abou-Khalil  1 , Sylvain Steinmetz  2 , Laurent Mustaki  1 , Bertrand Leger  3 , Eric Thein  1 , Olivier Borens  1
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Comparative Study

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

Sami Abou-Khalil et al. Eur J Orthop Surg Traumatol. 2020 Jul.

Abstract

Introduction: 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.

Material and 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.

Results: 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.

Conclusion: 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.

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References

    1. Suzuki T, Shindo M, Soma K, Minehara H, Nakamura K, Uchino M, Itoman N (2007) Long-term functional outcome after unstable pelvic ring fracture. J Trauma 63:884–888 - DOI
    1. Tile M (1988) Pelvic ring fracture: should they be fixed? J Bone and Joint Surg. J Bone Jt Surg 70(1):1–12 - DOI
    1. Failinger MS, McGanity PL (1992) Unstable fractures of the pelvic ring. J Bone Jt Surg Am 74:781–791 - DOI
    1. Kellam JF, McMurtry RY, Paley D, Tile M (1987) The unstable pelvic fracture: operative treatment. Orthop Clin N Am 18:25–41
    1. Keating JF, Werier J, Blachut P, Broekhuyse H, Meek RN, O’Brien PJ (1999) Early fixation of the vertically unstable pelvis: the role of iliosacral screw fixation of the posterior lesion. J Orthop Trauma 13(2):107–113 - DOI

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