One-stage plate internal fixation by Stoppa with iliac fossa approaches for treatment of unstable pelvic fractures

CHEN Hongfen; WANG Gang; SUN Yongjian; LI Weicheng; DING Chao

doi:10.3969/j.issn.1674-666X.2015.06.002

Abstract：Objective To investigate the clinical effects of one-stage plate internal fixation by Stoppa with iliac fossa approaches in treatment of pelvic fractures. Methods From October 2009 and May 2014, 15 patients with unstable pelvic fractures were treated by open reduction and plate internal fixation through Stoppa with iliac fossa approaches. Operation time, intraoperative estimate blood loss volume and transfusion conditions were recorded, fracture reduction and postoperative hip functions were assessed by Matta criterion and Majeed scoring system respectively. Results The average operation time was 137 min (100 to 480 min), the average blood loss volume was 430 mL (200 to 1 200 mL), and the average red blood cell transfusion was 3.2 U (0-6 U). According to Matta criterion, 8 cases got anatomic reduction, 5 got satisfactory reduction and 2 got unsatisfactory reduction. All patients were followed up for 5 to 38 months (average, 14.3 months), and all fractures were clinicaly healed with an average period of 3.6 months (2 to 6 months). At the last follow up, Majeed scoring showed excellent in 8 cases, good in 4, fair in 1 and poor in 2. There were perineal abscess in 1 case, and urine leakage accompanied with sinus formation at surgical site in 1 case, which the wound were all healed after symptomatic treatment. Conclusion One-stage plate internal fixation by Stoppa with iliac fossa approaches provides the advantages of easy manipulation, less injuries and good clinical effects for treatment of pelvic ring fractures .