Tripathy Sujit K, Samanta Sudeep K, Varghese Paulson, Nanda Saurav N, Agrawal Kanhaiyalal
Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND.
Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Cureus. 2020 Nov 29;12(11):e11769. doi: 10.7759/cureus.11769.
A 35-year-old female presented with right-sided gluteal pain and difficulty in walking 10 years after surgical symphysiotomy. Radiograph of the pelvis and bilateral hip joints showed osteoarthritis of the right sacroiliac joint with pubic diastasis of 1.5 cm. She was operated with pubis symphysis reduction and fixation using two orthogonal plates with one iliosacral screw. Postoperative period was uneventful. She was able to walk independently after three months of fixation. Follow-up at 18 months showed complete relief of symptoms with maintenance of reduction and no hardware breakage. The Lindahl score was 78, indicating an excellent outcome.
一名35岁女性在耻骨联合切开术后10年出现右侧臀部疼痛及行走困难。骨盆及双侧髋关节X线片显示右侧骶髂关节骨关节炎，耻骨分离1.5厘米。她接受了耻骨联合复位固定手术，使用两块正交钢板及一枚髂骶螺钉。术后恢复顺利。固定三个月后她能够独立行走。18个月的随访显示症状完全缓解，复位得以维持，且未发生内固定断裂。Lindahl评分为78分，表明预后极佳。
