Abstract Views :107 |
PDF Views:0
Authors
Affiliations
1 Department of Orthopedic Surgery, Faculty of Medicine, Cairo University, EG
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 3428-3434
Abstract
Background and Objective: We hypothesized that the placement of trans-symphyseal crossing screws during symphyseal plating of disrupted pelvic fractures would lead to increase fixation strength and better radiological outcomes.
Methods: The study was a prospective, case-series, study that was conducted on 30 patients with unstable antero-posterior pelvic injury (APC type III). Open reduction and internal fixation with 3.5 reconstruction plate and trans-symphyseal crossing screws was done for the anterior injury and percutaneous iliosacral screw fixation for the posterior injury in all patients.
Results: The mean length of follow-up was 18 ± 5 months. The average length of crossing screws was 80.6 mm. The mean pubic space on final follow up radiograph was 6.4 ± 2.8 mm. The mean pubic space widening was 2.3 ± 1.7 mm. Neither significant pubic space widening (more than 10 mm) nor plate failure was observed.
Conclusion: The novel technique of cross-placement of screws during symphyseal plating could be effective among patients with unstable antero-posterior compression pelvic fractures with high excellent radiological outcomes and low complications and failure rate.
Keywords
Anetro-Posterior Compression Pelvic Injury, Symphyseal Plating, Crossing Screws, and Radiological Outcomes.
