Percutaneous screw fixation versus traditional plate fixation for treating pubic branch fracture
10.3969/j.issn.2095-4344.2630
- Author:
Jia Le LI
1
Author Information
1. The Second Hospital of Anhui Medical University
- Publication Type:Journal Article
- Keywords:
Internal fixation;
Minimally invasive;
Plate;
Pubic ramus fracture;
Screw
- From:
Chinese Journal of Tissue Engineering Research
2020;24(18):2861-2866
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Fracture of the pubic branch is a common type of anterior pelvic ring injury. Fixation of the pubic branch fracture can reduce the stress level of the posterior pelvic ring fixation system and reduce the separation of the pubic symphysis, which is beneficial to the stability of the pelvic ring. Both percutaneous screw fixation and traditional open reduction and internal fixation can be used to fix pubic branch fractures, but which method is better has not been confirmed. OBJECTIVE: To compare the efficacy of percutaneous screw fixation with conventional open reduction and plate fixation for pubic branch fracture. METHODS: Sixty-five patients of pubic branch fracture undergoing the surgical treatment at the Second Hospital of Anhui Medical University between January 2014 and December 2018 were included. The patients were randomly divided into percutaneous screw fixation group (n=33) and open reduction and plate fixation group (n=32). The patients signed the informed consents and the study was approved by the ethics committee of the hospital. The number of cases, sex, age, fracture classification, and American Society of Anesthesiologists score had no significant difference between two groups. The operation time, total blood loss, postoperative transfusion cases, incision length, postoperative discharge time and complications in both groups were recorded. Postoperative Matta score, Visual Analogue Scale score before and after surgery, and Majeed score during follow-up were recorded. RESULTS AND CONCLUSION: (1) Thirty patients in both groups were followed up, which was 8-59 months in the percutaneous screw fixation group, and 8-57 months in the open reduction and plate fixation group. (2) The percutaneous screw fixation group had smaller incision, lower incision infection rate, less bleeding, and shorter postoperative hospitalization time (P < 0.05). (3) Postoperative Visual Analogue Scale scores in both groups were decreased compared with the baseline levels (P < 0.05). The scores at postoperative 3 days in the percutaneous screw fixation group were significantly lower than those in the open reduction and plate fixation group (P < 0.05). The scores at postoperative 6 months were insignificant difference between two groups (P > 0.05). (4) The excellent and good rate of Matta score in the percutaneous screw fixation group was less than that in the open reduction and plate fixation group, and the difference was insignificant (P > 0.05). (5) There was no significant difference in the Majeed score at postoperative 6 months between two groups (P > 0.05). (6) Our results indicate that percutaneous screw fixation can achieve the same good effect as traditional plate fixation, and has the advantages of less trauma and faster postoperative recovery compared with traditional plate fixation.
