Clinical efficacy of minimally invasive percutaneous screw fixation in treatment of pelvic ring fracture and dislocation
CHEN Tong-lin;XIAO Ying;BAI Hong-tao;WANG Shuo-lei;JIA Wei-dou;FANG Bing;LI Xiao-bo;YUE Lian-jun;Department of Orthopaedics, Beijing Chaoyang Emergency Medical Center;
Objective To investigate the clinical efficacy of minimally invasive percutaneous screw fixation for pelvic fracture dislocation. Methods One hundred and thirteen fracture and dislocation of pelvic rings in 45 patients were diagnosed and treated between January 2013 and April 2016. The minimally invasive percutaneous screw fixation of pelvic ring fractures was performed 3-10 d after the injury. Results All patients were followed for 3-24 months(average 9 months). No loss of reduction was found during the follow-up period. Fracture healed at first stage, healing time was 2-4 months(average of3.3months). One case presented with sacral nerve injury symptoms after operation, and the symptoms disappeared after removal of the internal fixation. At the last follow-up,the pelvic function was assessed according to the Majeed scoring criteria. The results were excellent in 35 cases, good in 7 cases, and fair in 3 cases with an excellent and good rate of 93.3%.All patients had no internal fixation shedding and fracture. Conclusion Compared with traditional open reduction and plate fixation, minimally invasive percutaneous screw fixation technology in pelvic ring fractures and dislocations has advantages of short fracture healing time, excellent artistic incision, less blood loss, shorter hospital stay, short postoperative bed time and good function recovery, which can effectively reduce the incidence of post-operative complications.
【CateGory Index】： R687.3