Authors
- Hamid Reza Seyyed Hosseinzadeh, MD
- Ali Akbar Esmaieliejah, MD
- Seyyed Morteza Kazemi, MD
- Mohammad Reza Bigdeli, MD
- Mohammad Ali Jalili, MD
- Farivar Baghery, MD
- Reza Zandi, MD
- Seyyed Reza Aghapoor, MD;
- Ali Akbar Esmaieliejah, MD
- Alireza Eajazi, MD
- Farshad Safdari, MSc
Abstract
Background: Unstable pelvic fractures are major orthopaedic injuries with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for a great number of them. Percutaneous surgical fixation has become an accepted treatment method in last several years. We would like to report our experience with this relatively, newer technique in a small mixed group of unstable pelvic ring fractures.Methods: This is a report of 16 cases (13 males, 3 females) with mean age of 31±8 years of pelvic and acetabular fractures who received percutaneous iliosacral or iliopubic screw fixation, under C-arm imaging control, and had a 6 months period of clinical and radiographic follow-up.Results: All 16 cases had healed their fractures at follow-up and had full weight-bearing status. 12 cases returned to their pre-fracture activities. One screw break and one wound infection were the complications list. There was no neurological deficit, and average blood loss was 10 milliliters.Conclusion: Percutaneous iliosacral or iliopubic screw fixation for, respectively, posterior pelvic ring or anterior column acetabular injuries are useful surgical treatment options with low complication rates.
Keywords
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