Minimally invasive treatment of Tile B pelvic fractures with pubic symphysis separation as the main damage performance
ZHANG Ping
LI Guang-lei
GUAN Yu-zhong
WANG Guan
Abstract：Objective To explore the minimally invasive treatment methods and corresponding curative results of Tile B pelvic fractures with pubic symphysis separation as the main damage performance.Methods From February 2013 to March 2014, 9 patients with Tile B pelvic fractures with pubic symphysis separation as the main damage performance were admitted. All the patients were treated by noninvasive closed reduction in vitro and percutaneous cannulate screw ifxation. Fracture closure was achieved by reasonable positioning.Results The average operative time was 45 min ( range: 30-70 min ), and the average intraoperative blood loss was 3 ml ( range: 1-6 ml ). No incision infections or puncture-related complications occurred. Reduction of fractures was assessed by Matta’s criteria, and there were 9 excellent cases. The pelvic X-ray films at 6 weeks and 3 months after the surgery were reviewed in all the patients, and no screw loosening or breakage was found. The average follow-up period was 8.3 months ( range: 5-10 months ). According to Majeed functional scoring, all the patients were excellent. Conclusions Invitro closed reduction techniques are used and percutaneous cannulate screw ifxation is carried out in the treatment of Tile B pelvic fractures with pubic symphysis separation as the main damage performance, with the advantages of simple operation, less trauma and satisfactory results.
Keywords：Pubic symphysisPelvisFracturesboneSurgical proceduresminimally invasiveWounds and injuries
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：4( 456-459 )