ISSN: 1859 - 2872
Outcome of open reduction internal fixation for fracture - dislocation sacroiliac joint injuries
Main Article Content
Keywords
Abstract
Objective: To study the related factors and clinical results of open reduction internal fixation (ORIF) in the treatment of fracture - dislocations sacroiliac joint (SIJ). Subject and method: 48 fracture - dislocations sacroiliac joint, were treated by open reduction internal fixation at the Department of Trauma and Orthopaedics, Cho Ray Hospital (from January 2015 to June 2019). Result: Most of the cases of fracture - dislocations sacroiliac joint caused by traffic accidents accounted for 75% and damage to other organs (47/48). There were 36 fracture - dislocations sacroiliac joint classified according to the Day classification: Day I (27.8%), Day II (30.6%) and Day III (41.7%). The anatomical reduction was good and excellent according to Lindahl radiological scale 87.5%. The anatomical reduction was independent on the type of injury and the time of surgical intervention. There was 1 case of injury to the superior gluteal branch of the internal iliac artery and was occluded on DSA. 4 cases of wound infections were debridement and not removed instrument. All patients were bone healing. The functional results were good and excellent according to the Majeed score: 93.8% and was not related to factors such as injury type, surgical intervention timing, and anatomical reduction. Conclusion: The fracture - dislocations sacroiliac joint is multi trauma, with damage to other organs. The open reduction internal fixation results in good anatomical reduction and fuctionnal outcome.
Article Details
References
2. Choy WS, Kim KJ, Lee SK et al (2012) Anterior pelvic plating and sacroiliac joint fixation in unstable pelvic ring injuries. Yonsei Med J 53(2): 422–426.
3. Day AC, Kinmont C, Bircher MD et al (2007) Crescent fracture-dislocation of the sacroiliac joint. A functional classification. J Bone Jt Surg - Ser B 89(5): 651–658.
4. Elkady RH, Abuelkhair H, and El-Aidy S (2020) Closed reduction and internal fixation of day II and III crescent fractures by iliosacral screw. Am Res J Orthop Traumatol 5(1): 1–5.
5. Jatoi A, Sahito B, Kumar D et al (2019) Fixation of crescent pelvic fracture in a Tertiary Care Hospital: A steep learning curve. Cureus, 11(9): e5614.
6. Lindahl J and Hirvensalo E (2005) Outcome of operatively treated type-C injuries of the pelvic ring. Acta Orthop 76(5): 667–678.
7. Majeed SA (1989) Grading the outcome of pelvic fractures. J Bone Jt Surg - Ser B 71(2): 304-306.
8. Matta JM and Tornetta P (1996) Internal fixation of unstable pelvic ring injuries. Clin Orthop Relat Res (329): 129-140.
9. Pohlemann T, Gänsslen A, Schellwald O et al (1996) [Outcome evaluation after unstable injuries of the pelvic ring]. Unfallchirurg 99(4): 249-259.
10. Thaunat M, Laude F, Paillard P et al (2008) Transcondylar traction as a closed reduction technique in vertically unstable pelvic ring disruption. Int Orthop 32(1): 7-12.
11. Xiang G, Dong X, Jiang X et al (2021) Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: Case-control study. J Orthop Surg Res 16(1): 36.
Article Sidebar
