Type C pelvic ring injuries in polytrauma patients:can percutaneous iliosacral screws reduce morbidity and costs?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Mostafa A. Ayoub
- چاپ و سال / کشور: 2011
Description
Forty-two polytrauma patients with pelvic injuries were included in this retrospective study to evaluate the beneWts of percutaneous iliosacral screwing. All patients were followed up for at least 1 year, and their mean age was 39 years. According to Tile’s classiWcation, all cases were type C pelvic injuries. After primary anterior Wxation, the iliosacral screws were applied percutaneously. Twenty-two cases had excellent reduction, 15 cases had good reduction, 4 cases had fair reduction and one case had poor reduction. The unsatisfactory Wnal displacements were common among dislocations of the sacroiliac joints and operated cases during the second week. The Wnal clinical outcome was satisfactory in 31 cases and unsatisfactory in 11 cases. Unsatisfactory clinical results were due to persistent posterior pelvic pain and limited activities in 7 cases and residual neurological disability in four cases. No posterior infection or iatrogenic nerve injuries were encountered; however, two cases had loosening of the applied improper screws. There was signiWcant direct reduction in the hospital stay, transfused blood amount, ventilator time and complications when the percutaneous iliosacral screwing was carried out early during the Wrst week. Therefore, indirect reduction in the hospital cost and polytraumatized patient morbidity was achieved.
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0811-0 Received: 18 February 2011 / Accepted: 22 April 2011
