Supra-acetabular fixation and sacroiliac screws for treating unstable pelvic ring injuries: preliminary results from 20 patients

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• 作者：Rodrigo Pereira Guimarã ; es ; ^{clinicaguimaraes@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Arthur de Gó ; es Ribeiro ; Oliver Ulson ; Ricardo Bertozzi de Á ; vila ; Nelson Keiske Ono ; Giancarlo Cavalli Polesello
• 关键词：Surgical procedures ; minimally invasive ; External fixators ; Fracture fixation ; internal ; Retrospective studies
• 刊名：Revista Brasileira de Ortopedia (English Edition)
• 出版年：2016
• 出版时间：March-April 2016
• 年：2016
• 卷：51
• 期：2
• 页码：132-137
• 全文大小：1035 K

文摘

To analyze the treatment results from 20 patients who underwent an alternative osteosynthesis method as definitive treatment for pelvic ring fractures.

Methods

A retrospective analysis was conducted on a series of 20 patients with pelvic ring fractures (Tile type C) and a high risk of postoperative infection, who were treated at Santa Casa de Misericórdia de São Paulo between August 2004 and December 2012. The patients underwent percutaneous supra-acetabular external fixation in association with cannulated 7.0 mm iliosacral screws.

Results

The patients’ mean age was 40 years (range 22–77 years) and the mean length of follow-up was 18.5 months (range 3–69 months). At the end of the treatment, ten patients (50%) were classified as having good results, nine patients (45%) had fair results and one patient (5%) did not have any improvement. Six patients presented complications, and paresthesia of the lateral femoral cutaneous nerve was the most frequent of these (two patients).

Conclusion

Supra-acetabular external fixation in association with iliosacral percutaneous osteosynthesis is a good definitive treatment method for patients with a high risk of postoperative infection.