Din M H, Aziz A M, Sahran Y, Mohamed-Saat M A, Abdul-Ghani N S, Faisham W I, Musa A T
Department of Orthopaedics, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Department of Radiology, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Malays Orthop J. 2024 Nov;18(3):51-58. doi: 10.5704/MOJ.2411.007.
Sacroiliac joint disruption, resulting from high energy trauma can cause significant morbidity if no proper treatment given. Many techniques can be used to stabilise pelvic ring injuries. We studied the functional and radiological outcome following open reduction and anterior fixation of the sacroiliac joint and agreement between both outcomes.
This retrospective study involved 15 patients with unstable pelvic injuries requiring surgical intervention from January 2015 to December 2020 who undergone anterior stabilisation of the sacroiliac joint. Radiological outcome assessments were done postoperatively by using Lindahl criteria. The complete functional outcome was assessed at least six months postoperatively when patients were able to weight bear by using Majeed system. Descriptive statistical analysis was performed using IBM SPSS Statistics Version 27.
The participants consist of 73.3% male and 26.7% female patients. A total of 66.7% of patients had a Tile type B pelvic ring injury, and the remaining 33.3% had a Tile type C pelvic ring injury. Based on the Majeed system, 73.3% of patients had excellent functional outcomes, and based on Lindahl criteria; there were 60% of patients who had excellent radiological outcome. However, there was no significant agreement between functional and radiological outcomes.
Definitive fixation of the sacroiliac joint by anterior plate stabilisation provided an excellent functional and radiological outcome mainly due to good anatomical reduction and mechanical stability. However, further study may be needed to evaluate the correlation between functional and radiological outcomes and compare the various method of fixation with a larger sample size.
骶髂关节脱位由高能创伤引起，如果未得到恰当治疗，可能导致严重的发病率。可采用多种技术来稳定骨盆环损伤。我们研究了骶髂关节切开复位及前路固定后的功能和影像学结果，以及两种结果之间的一致性。
这项回顾性研究纳入了2015年1月至2020年12月期间15例因不稳定骨盆损伤需要手术干预且接受了骶髂关节前路稳定术的患者。术后采用林达尔标准进行影像学结果评估。当患者能够负重时，在术后至少六个月使用马吉德系统评估完整的功能结果。使用IBM SPSS Statistics 27版进行描述性统计分析。
参与者包括73.3%的男性患者和26.7%的女性患者。共有66.7%的患者为Tile B型骨盆环损伤，其余33.3%为Tile C型骨盆环损伤。根据马吉德系统，73.3%的患者功能结果优秀；根据林达尔标准，60%的患者影像学结果优秀。然而，功能和影像学结果之间没有显著的一致性。
通过前路钢板稳定术对骶髂关节进行确定性固定可提供优异的功能和影像学结果，这主要归功于良好的解剖复位和机械稳定性。然而，可能需要进一步研究来评估功能和影像学结果之间的相关性，并以更大的样本量比较各种固定方法。
