Clinical curative effect comparison on percutaneous sacroiliac screws internal fixation and sacroiliac joint anterior plate fixation in the treatment of unstable pelvic fractures

LIN Guang-sheng

Abstract：Objective To investigate clinical efficacy of percutaneous sacroiliac screws internal fixation and sacroiliac joint anterior plate fixation in the treatment of unstable pelvic fractures.Methods From Jan.2012 to Jan.2014,149 cases of unstable pelvic fracture were selected to study.According to the treatment method,all the patients were divided into sacroiliac plate group and sacroiliac screw group.There were 74 patients in the sacroiliac plate group treated with the sacroiliac joint anterior plate internal fixation and 75 patients in the sacroiliac screw group treated with percutaneous sacroiliac screw fixation.The clinical data,surgery-related indicators,clinical effi-cacy and postoperative complications were compared between the two groups.Results The differences of the data about gender,age,cause of injury,associated injuries and Tile classification between the two groups were not statisti-cally significant(P>0.05);the operation time,blood loss,incision length,and length of hospital stay of the patients in the sacroiliac screw group[(86.1 ±11.2)min,(16.7 ±8.5)mL,(1.7 ±0.6)cm and (8.7 ±2.7)d,respective-ly] were significantly lower than those of the sacroiliac plate group [ ( 122.3 ±20.5 ) min, ( 516.3 ±118.7 ) mL, (15.7 ±1.5)cm and (17.7 ±4.8)d,respectively(P<0.05)];the excellent and good reduction rate and good functional recovery rate of the sacroiliac screw group ( 97.3% and 96.0%) were significantly higher than those of the sacroiliac plate group (79.7%and 73.0%,P<0.05);the rate of postoperative complications of the sacroiliac screw group (4.0%) was significantly lower than that of the sacroiliac plate group (24.3%,P<0.05).Conclu-sion Percutaneous sacroiliac screw fixation for unstable pelvic fractures can achieve significant clinical effect, and lower advantages of less bleeding,less trauma,quicker recovery,and lower postoperative complication.It is worthy of wide application in clinical practice.