Comparative study on clinical results of pertacuneous sacroiliac screw combined with retrograde anterior column screw fixation or with external fixation stent for 3D navigation aided treatment of Tilt pelvic fractures
10.3760/cma.j.issn.1001-8050.2018.02.009
- VernacularTitle:3D导航辅助下经皮骶髂螺钉内固定联合逆行前柱螺钉内固定或前环外固定支架治疗Tilt骨盆骨折的疗效比较
- Author:
Long CHEN
1
,
2
;
Guodong WANG
;
Ximing LIU
;
Xianhua CAI
Author Information
1. 430070武汉,解放军武汉总医院骨科
2. 湖北中医药大学针灸骨伤学院
- Keywords:
Pelvis;
Fracture fixation,internal;
Surgical procedures,minimally invasive;
Navigation technology
- From:
Chinese Journal of Trauma
2018;34(2):145-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of pertacuneous sacroiliac screw combined with retrograde anterior column screw fixation and that with external fixation stent for 3D navigation aided treatment of Tilt pelvic fractures.Methods A retrospective case control review was conducted on 49 cases of Tilt pelvic fractures admitted to our hospital from June 2015 to February 2017.There were 27 males and 22 females,aged 21-68 years (mean,44.6 years).Twenty eight cases were treated with the pertacuneous sacroiliac screw combined with retrograde anterior column screw fixation (Group A),and twenty one cases were treated with pertacuneous sacroiliac screw combined with external fixation stent (Group B).Operation duration,blood loss,time for exercise,postoperative complications,Majeed pelvic fractures function score and visual analogue scale (VAS) at the last follow-up were compared between the two groups.Results All patients were followed up for 6-16 months (mean,12.7 months).No significant difference was found for operation duration,intraoperative blood loss and Majeed pelvic fractures functional scores at the last follow-up (P ＞ 0.05).Time for exercise in Group A [(9.71 ± 0.49) weeks] was earlier than that in Group B [(17.05 ± 0.73) weeks] (P ＜ 0.05).The incidence of postoperative complications was 4％ in Group A,significantly lower than 29％ in Group B (P ＜ 0.05).Significant difference was observed for VAS between the two groups at postoperative 1,4 and 12 weeks (P ＜ 0.05).Conclusion Pertacuneous sacroiliac screw combined with retrograde anterior column screw fixation aided by 3D navigation has advantages of early time for exercise,pain relief,few complications,which serves as a favorable treatment for Tilt pelvic fractures.
