Comparison between anterior dual-plate and posterior percutaneous cannulated screw internal fixation in the treatment of sacroiliac joint dislocation
LIN Zhousheng
LI Feimeng
LI Wenjun
QI Yong
SUN Hongtao
Abstract：Objective To investigate the difference of clinical effects between anterior open reduction internal fixation with dual-plate and posterior close reduction internal fixation with percutaneous cannulated screw for patients with sacroiliac joint dislocation. Methods From July 2009 to June 2013, 24 patients with sacroiliac joint dislocation were treated in the Second People's Hospital of Guangdong Province, in which 12 patients were treated with anterior open reduction and dual-plate internal fixation (anterior surgery group), and the other 12 patients with posterior close reduction and percutaneous cannulated screw internal fixation (posterior surgery group). Their clinical data were collected and retrospectively analyzed, and the operative time, intraoperative estimate blood loss, length of surgical incision, length of hospital stay as well as postoperative complications in two groups were compared; During the follow-up, regular radiological examinations were underwent to observe the residual dislocation distance of sacroiliac joint in each plane; At 1 year after the operation, the excellent and good rate of the curative effect in each group was evaluated by Matta assessment standard. Results Operative time, intraoperative estimate blood loss, length of surgical incision, length of hospital stay were (85 ± 8) min, (13.6 ± 2.5) mL, (16.4 ± 2.4) mm, (9.5 ± 1.4) d in posterior surgery group, and (100 ± 10) min, (440.8 ± 41.4) mL, (142.9 ± 11.3) mm, (17.8 ± 1.8) d in anterior surgery group respectively, the former results were better than the latter's (P <0.05). All patients were followed up with an average of 15.3 months (12-18 months). No infection, nerve or vascular injuries, and no internal fixator loosening or breakage were found. One year after the operation, the imaging examination showed that the residual dislocation distance of sacroiliac joint in each plane was all less than 0.5 cm. At 1 year after the operation, there was no statistical difference of Matta score between two groups (P >0.05). Conclusions Posterior percutaneous cannulated screw internal fixation could obtain similar clinical effects to anterior dual-plate internal fixation, besides, it has the advantages of less injury, less intraoperative blood loss, shorter operative time and rapid postoperative rehabilitation.
Keywords：Sacroiliac jointHip dislocationFracture fixationinternalBone platesBone screwsAnterior surgeryPosterior surgery
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 151-156 )