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

Détails

Ressource 1Télécharger: Article - Results of open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable plevic ring injuries - European Journal of Orthopaedic Surgery and Traumatology 2020.pdf (758.30 [Ko])
Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_AEF80A480223
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Results of open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable pelvic ring injuries: retrospective study of 36 patients.
Périodique
European journal of orthopaedic surgery & traumatology
Auteur⸱e⸱s
Abou-Khalil Sami, Steinmetz Sylvain, Mustaki Laurent, Leger Bertrand, Thein Eric, Borens Olivier
ISSN
1633-8065 (Print)
ISSN-L
1633-8065
Statut éditorial
Publié
Date de publication
2020
Peer-reviewed
Oui
Volume
30
Numéro
5
Pages
877-884
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Iliosacral fracture/dislocation, Majeed score, Percutaneous iliosacral screw fixation, Pohlemann score, Unstable pelvic ring injury
Pubmed
Création de la notice
04/12/2020 10:37
Dernière modification de la notice
05/12/2020 8:10
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