Department of Orthopaedics, Hubei 672nd Orthopaedics Hospital of Integrated Chinese & Western Medicine, Wuhan, 430079, China.
Department of Orthopaedics, the PLA General Hospital of Central Theater Command, Wuhan, 430070, China.
Curr Med Sci. 2019 Feb;39(1):81-87. doi: 10.1007/s11596-019-2003-9. Epub 2019 Mar 13.
The clinical efficacy was compared between 3D navigation-assisted percutaneous iliosacral screw (3DPS) and minimally invasive reconstruction plate (MIRP) in treating sacroiliac complex injury and the surgical procedures of 3DPS were introduced. A retrospective analysis was performed on 49 patients with sacroiliac complex injury from March 2013 to May 2017. Twenty-one cases were treated by 3DPS, and 28 cases by MIRP. Intraoperative indexes as operative time, blood loss, incision length, length of hospital stay and postoperative complications were respectively documented. Quality of reduction was postoperatively evaluated by Matta radiological criteria, and clinical effect was assessed by Majeed scoring criteria at the last follow-up. Operative time and hospital stay were significantly shortened, and blood loss, and incision length were significantly reduced in 3DPS group as compared with those in MIRP group (P<0.05). No statistically significant difference was found between 3DPS group and MIRP group in the assessment of reduction and function (P>0.05). It was concluded that both 3DPS and MIRP can effectively treat the sacroiliac complex injury, and 3DPS can provide an accurate, safe and minimally invasive fixation with shorter operative time and hospital stay.
比较了 3D 导航辅助经皮髂骶螺钉（3DPS）与微创重建板（MIRP）治疗骶髂复合体损伤的临床疗效，并介绍了 3DPS 的手术步骤。对 2013 年 3 月至 2017 年 5 月收治的 49 例骶髂复合体损伤患者进行回顾性分析，其中 3DPS 治疗 21 例，MIRP 治疗 28 例。分别记录手术时间、术中出血量、切口长度、住院时间和术后并发症等术中指标。术后采用 Matta 影像学标准评估复位质量，末次随访采用 Majeed 评分标准评估临床疗效。与 MIRP 组相比，3DPS 组手术时间和住院时间明显缩短，术中出血量和切口长度明显减少（P<0.05）。两组患者复位和功能评估无统计学差异（P>0.05）。结论：3DPS 和 MIRP 均可有效治疗骶髂复合体损伤，3DPS 可提供准确、安全、微创的固定，手术时间和住院时间更短。
