Department of Orthopaedic, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang, 325035, China.
J Orthop Surg Res. 2021 Jan 9;16(1):36. doi: 10.1186/s13018-020-02197-1.
To investigate the clinical outcomes of percutaneous cross screws internal fixation for pelvic Day type II crescent fracture-dislocation.
We reviewed 66 consecutive patients undergoing surgical treatment for Day type II crescent fracture-dislocation from June 2005 to December 2017. Percutaneous cross screws internal fixation was performed in 40 patients, and open reduction and internal fixation was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared.
There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision, and the hospital stay were significantly shorter in the percutaneous cross screws internal fixation group. No significant difference on Matta scores and Majeed scores between the two groups. The open reduction and internal fixation group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort, and pain.
Percutaneous cross screws internal fixation for Day II type pelvic crescent fracture-dislocation was safe and effective. Minimally invasive fixation had the advantages of short operation and hospitalization time, less intraoperative bleeding, and surgical trauma.
探讨经皮交叉螺钉内固定治疗骨盆 Day Ⅱ型新月形骨折脱位的临床疗效。
回顾性分析 2005 年 6 月至 2017 年 12 月收治的 66 例骨盆 Day Ⅱ型新月形骨折脱位患者的临床资料，其中 40 例行经皮交叉螺钉内固定，26 例行切开复位内固定。比较两组患者的一般资料、手术并发症、影像学和临床疗效。
两组患者的受伤至手术时间的平均时间无统计学差异。经皮交叉螺钉内固定组的手术时间、出血量、切口长度和住院时间明显短于切开复位内固定组。两组的 Matta 评分和 Majeed 评分无统计学差异。切开复位内固定组术中出血量、神经损伤、不适和疼痛发生率较高。
经皮交叉螺钉内固定治疗骨盆 Day Ⅱ型新月形骨折脱位安全有效。微创固定具有手术时间和住院时间短、术中出血少、手术创伤小等优点。
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