Anterior subcutaneous fixation with screw-rod internal fixator for the treatment of unstable anterior pelvic ring fractures
WANG Zhao-hui
HE Bo-yong
ZENG Min-chuan
GUO Jian-hui
TANG Yan-ping
ZHAO Kuai-ping
LIU Jian-wei
Abstract：Objective To study percutaneous internal fixation with screw-rod system for the treatment of unstable anterior pelvic ring fractures .Methods The clinical data of 12 cases of unstable anterior pelvic ring frac-tures treated with anterior subcutaneous fixation with screw-rod system was retrospectively analyzed . According to the Tile’s classification,4 cases were B3,4 cases were C1,3 cases were C2,and 1 case was C3.In all these poste-rior ring fractures,2 cases were treated with percutaneous iliosacral screw fixation ,1 case with ilio-lumbar fixation,and 6 cases with plate fixation (including M-shaped tension plate fixation in 4 cases).Results The average blood loss and operation time of anterior pelvic ring fixation were 70 mL ( ranged from 50 to 90 mL) and 65 min( ranged from 50 to 85min)respectively.Unilateral lateral femoral cutaneous nerves were inpaired in 5 cases and the symptoms resolved after 2 weeks.All cases were followed up for 4 to 15 months,indicating bone healing and satisfactory clinical results , without wound infection or fixation failure .Conclusion The percutaneous internal fixation with screw-rod system is a minimally invasive,comfortable,simple and safe way for treating unstable anterior pelvic ring fractures with good re-sults, but vigilance is necessary in order to avoid the lateral femoral cutaneous nerve injury in operation .
Keywords：pelvic fractureanterior ringinternal fixatorinternal fixation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 196-199 )