A clinical case-control study of percutaneous sacroiliac screws and percutaneous tension band plate in the treatment of unstable posterior pelvic ring fracture or dislocation

doi:10.3969/j.issn.1009-976X.2022.05.010

Abstract

Abstract: Objective The aim of this study is to compare the clinical effects between percutaneous sacroiliac screws and percutaneous tension band plate in the treatment of unstable posterior pelvic ring fracture or dislocation. Methods From June,2019 to May 2021, forty patients with unstable posterior pelvic ring fracture or dislocation were enrolled in this study and randomly divided into two groups. Both the percutaneous sacroiliac screws and percutaneous tension band plate has twenty patients and the base data, perioperative clinical data and clinical effects were compared. Results There was no significant statistical difference between the two groups with follow-up time, sex, age, injury cause, type of fracture or dislocation and ISS scores（P>; 0.05）. The waiting time before surgery, surgery time, length of incision, intraoperative blood loss were better in the percutaneous sacroiliac screws group while the radiation times were larger（P<; 0.05）. The Majeed scores and Matta scores had no stastistical significance between two groups （P>; 0.05）. For complication, percutaneous sacroiliac screws groups has two cases of nerve injury and percutaneous tension plate group has two cases of incision infection. Conclusion Percutaneous sacroiliac screws can reduce damage to soft tissues and thus can be a more effective method in the treatment of unstable posterior pelvic ring fracture or dislocation.

Key words: sacroiliac screws, tension band plate, posterior pelvic ring fracture or dislocation, unstable pelvic fracture

摘要： 目的对比经皮骶髂螺钉和后方张力带钢板治疗不稳定骨盆后方骨折脱位的临床疗效。方法 2019年6月至2021年5月,收治符合纳入标准的骨盆后环骨折脱位患者40例,其中经皮骶髂螺钉组和后方张力带钢板各20例,比较两组基线资料、围手术期资料及临床疗效。结果两组随访时间无明显统计学差异（P>0.05）。两组性别、年龄、致伤原因、骨折分型、ISS评分等基线资料对比无明显统计学差异（P>0.05）。骶髂螺钉组待术时间、手术时间、住院时间、切口长度、术中出血量等围手术期指标均优于钢板组（P<0.05）,但术中放射次数较多（P<0.05）。而术后Majeed评分和Matta评分两组间无明显统计学差异（P>0.05）。术后骶髂螺钉组发生两例神经损伤,钢板组发生两例术后切口感染,无其他重大手术并发症。结论骶髂螺钉应用于不稳定骨盆后方骨折脱位患者中,对软组织创伤小,更适合作为骨盆后环骨折脱位的内固定方式。

关键词: 骶髂螺钉, 张力带钢板, 骨盆后环骨折脱位, 不稳定骨盆骨折

CLC Number:

R683.3

GUO Yue-yue, ZHENG Chao-shun, HE Xu-hui, LIN Yi-hui, CHEN Bin-yong, LIN Chu-chun, LIN Ben-dan. A clinical case-control study of percutaneous sacroiliac screws and percutaneous tension band plate in the treatment of unstable posterior pelvic ring fracture or dislocation[J]. Lingnan Modern Clinics In Surgery, 2022, 22(05): 486-491.

郭跃跃, 郑潮顺, 何旭辉, 林懿辉, 陈彬勇, 林楚纯, 林本丹. 经皮骶髂螺钉与后方张力带钢板治疗不稳定骨盆后环骨折脱位的病例对照研究[J]. 岭南现代临床外科, 2022, 22(05): 486-491.

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