Li Shiguang, Meng Xianxia, Li Wenlong, Sun Zhaoyun, Wang Xing, Qi Hongde, Wei Shuju, Zhou Dongsheng
Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, P.R. China.
Department of Orthopedic Surgery, Laiwu City People's Hospital, Laiwu, Shandong 271100, P.R. China.
Exp Ther Med. 2018 Nov;16(5):4150-4154. doi: 10.3892/etm.2018.6670. Epub 2018 Aug 31.
Effects of minimally invasive plate-screw internal fixation and sacroiliac joint screw fixation in the treatment of posterior pelvic ring fracture were compared. Continuous selection of 20 cases of unstable pelvic posterior ring fractures, according to indications of operation, were divided into a group of 13 cases of plate-screw internal fixation and a group of 7 cases of sacroiliac joint screw fixation, and the operation effect and complications were compared. The comparisons of operation time, amount of radiation exposure, intraoperative blood loss, length of incision, partial load and full load time, and complications between two groups were carried out, and there were no statistically significant differences (P>0.05). The evaluation of clinical effects (based on the Majeed pelvic functional scoring criteria) and the evaluation of anatomic effects (based on Matta and Tornetta scoring criteria) between the two groups were compared, there was no statistically significant difference (P>0.05). Minimally invasive plate-screw internal fixation and sacroiliac joint screw fixation in the treatment of the posterior pelvic instability fracture both have indications and their therapeutic effects are equally matched.
比较微创钢板螺钉内固定与骶髂关节螺钉固定治疗骨盆后环骨折的效果。连续选取20例不稳定骨盆后环骨折患者，根据手术指征分为钢板螺钉内固定组13例和骶髂关节螺钉固定组7例，比较手术效果及并发症。对两组的手术时间、辐射暴露量、术中出血量、切口长度、部分负重及完全负重时间和并发症进行比较，差异均无统计学意义（P>0.05）。比较两组的临床效果评估（基于Majeed骨盆功能评分标准）和解剖学效果评估（基于Matta和Tornetta评分标准），差异无统计学意义（P>0.05）。微创钢板螺钉内固定与骶髂关节螺钉固定治疗骨盆后环不稳定骨折均有适应证，且治疗效果相当。
