Preliminary results of iliosacral screws and plate combination in the management of tile B3 pelvic fractures: A retrospective case series.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Acta orthopaedica et traumatologica turcica Pub Date : 2022-01-01 DOI:10.5152/j.aott.2022.19233

Yi-Bing Zheng, Yi-Hong Yin, Wei-Bin Wang, Qing-Song Fu, Xinhua Yuan

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Abstract

OBJECTIVE The aim of this study was to present preliminary results and experience with iliosacral screws and plate combination (horizontal triangular osteosynthesis, HTO) in the management of Tile B3 pelvic fractures. METHODS In this retrospective study, 26 patients (18 male, 8 female; mean age = 46, age range = 31-58 years) who were treated with horizontal triangular osteosynthesis using the combination of bilateral percutaneous iliosacral screws and transiliac plates due to Tile B3 pelvic fractures in our institution were included. The accompanying symptoms, blood loss, operation time , fracture healing time, and postoperative complications were observed and recorded. Patients were followed up retrospectively with routine post-operation visits for clinical and radiographic examination. The reduction quality was evaluated according to Matta criterion. Clinical and nerve function outcomes were evaluated by Majeed and Gibbons criterion. RESULTS The mean follow-up time was 15 months (range = 12-21 months). The mean blood loss and operation time were 24.6 ± 6.7mL and 30.5 ± 3.47 mins, respectively. Patients experienced early weight-bearing ability and no fracture reduction loss. Due to Matta criterion for fracture reduction, the results were excellent in 16 cases, good in 9 cases, and fair in 1 case. Due to Majeed functional scoring at the last follow-up, the results were excellent in 17 cases, good in 9 cases. Of 3 patients in whom neurologic impairment was detected preoperatively, 2 achieved complete recovery, and 1 achieved partial improvement postoperatively. CONCLUSION As a new surgical concept in the management of Tile B3 pelvic fractures, HTO seems to provide the following advantages: horizontal triangular fixation, minimally invasive incisions, less blood loss, and permitting early weight-bearing ability. However, there still exist several problems regarding the technique and the option of implants. LEVEL OF EVIDENCE Level IV, Therapeutic Study.

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髂骶骨螺钉和钢板组合治疗B3型骨盆骨折的初步结果：一个回顾性病例系列。

目的：本研究旨在介绍髂骶骨螺钉和钢板组合（水平三角形接骨术，HTO）治疗Tile B3骨盆骨折的初步结果和经验。方法在这项回顾性研究中，我们纳入了26名患者（18名男性，8名女性；平均年龄=46，年龄范围=31-58岁），他们在我们的机构中接受了Tile B3骨盆骨折的双侧经皮髂骶骨螺钉和透明钢板组合的水平三角形接骨术。观察并记录伴随症状、失血量、手术时间、骨折愈合时间及术后并发症。对患者进行回顾性随访，进行常规术后临床和放射学检查。还原质量根据Matta标准进行评估。临床和神经功能结果采用Majeed和Gibbons标准进行评估。结果平均随访时间为15个月（12～21个月）。平均失血量和手术时间分别为24.6±6.7mL和30.5±3.47min。患者经历了早期的负重能力，没有骨折复位损失。根据Matta骨折复位标准，优16例，良9例，尚可1例。由于上次随访时Majeed功能评分，17例结果良好，9例结果良好。术前发现神经损伤的3例患者中，2例完全康复，1例术后部分好转。结论HTO作为治疗Tile B3骨盆骨折的一种新的手术理念，似乎具有以下优点：水平三角形固定、微创切口、较少出血和允许早期负重能力。然而，在植入物的技术和选择方面仍然存在一些问题。证据水平第四级，治疗研究。

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来源期刊

Acta orthopaedica et traumatologica turcica ORTHOPEDICS-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.