Evaluation of the results of the treatment of fracture of pelvis and acetabulum using Percutaneous, minimally invasive internal fixation technique
Hamid Reza Seyyed Hosseinzadeh MD, Mohammad Reza Bigdeli MD, Mohammad Qoreishi MD*
Shahid Beheshti University of Medical Sciences, Tehran, Iran
* Corresponding Author
Introduction: The unstable pelvic ring fractures are major orthopaedic injuries associated with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for the majority of them. Percutaneous minimally invasive surgical stabilization of the fractures has become an accepted treatment method in the past several years. We report our experience with this relatively new technique in our patients with unstable pelvic fractures.
Materials and methods: This is a descriptive study on 36 patients (23 male and 13 female) with the mean age of 29+7 years. All the operations were performed by a single surgeon (HRSH) in supine position and under C-arm fluoroscopy control. All the patients have at least 6 month clinical and radiographic control.
Results: All the fractures in all 36 patients healed in the follow-up study and the patients could bear weight completely on both lower limbs. 31 patients could get back to their preoperative abilities, but 5 cases had to change their jobs. We had one screw breakage and one deep infection. There was no neurologic deficit following screw insertion. The average blood loss was 20 cc.
Conclusion: Closed reduction and percutaneous iliosacral and iliopubic minimally invasive screw fixation for, respectively, posterior pelvic ring or anterior column acetabular fractures are useful surgical treatment options with low complication rates.
Keywords: Pelvis, Acetabulum, Fracture, Internal fixation