Pelvic and Acetabular Fractures
Euthyphoria reduction combined with percutaneous iliosacral screw fixation for irreducible sacroiliac dislocation
Yuan Xiong, Ming Chen, Qiong Zheng, Guohui Liu, Minchao Xu, Wen Xiong, Jialang Hu, Xin Guo, Lin Lu, Wusheng Kan
Published 2018-03-15
Cite as Chin J Orthop Trauma, 2018, 20(3): 193-198. DOI: 10.3760/cma.j.issn.1671-7600.2018.03.003
Abstract
ObjectiveTo evaluate euthyphoria reduction combined with percutaneous iliosacral screw fixation in the treatment of irreducible sacroiliac dislocation.
MethodsFrom March 2012 to May 2015, 29 patients with irreducible sacroiliac dislocation were treated using euthyphoria reduction followed by percutaneous iliosacral screw fixation. They were 18 men and 11 women, aged from 25 to 68 years (average, 37.9 years). According to the Tile classification, there were 7 cases of type C1, 9 cases of type C2, and 13 cases of type C3. The intervals from injury to surgery ranged from 6 to 32 days (average, 11.3 days).
ResultsThe operation time for this cohort ranged from 40 to 125 minutes (average, 76.2 minutes). The intraoperative bleeding ranged from 50 to 360 mL (average, 148.6 mL). Their follow-ups ranged from 24 to 41 months (average, 28.9 months). According to the Matta criteria for reduction, 20 cases were rated as excellent and 9 as good, yielding an excellent to good rate of 100%. Their Majeed scores at the final follow-up averaged 90.1 points (range, from 67 to 100 points), giving 20 excellent, 7 good and 2 fair cases (with an excellent to good rate of 93.1%). No screw loosening or lameness of the affected limb was observed during follow-ups.
ConclusionsEuthyphoria reduction combined with percutaneous iliosacral screw fixation can lead to satisfactory outcomes in the treatment of irreducible sacroiliac dislocation. Additionally it may improve operative safety.
Key words:
Pelvis; Fractures, bone; Fracture fixation, internal; Bone nails; Reduction
Contributor Information
Yuan Xiong
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Ming Chen
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Qiong Zheng
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Guohui Liu
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Minchao Xu
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Wen Xiong
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Jialang Hu
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Xin Guo
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Lin Lu
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
Wusheng Kan
Department of Orthopaedics, Pu'ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China