Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint

Elmenawy, Mohamed Mustafa; Salama, Fathy Hamza; El-Shoura, Samir Ahmed; Abd-ELhamied Hussein, Ammar Fathy

doi:10.21608/ijma.2020.20216.1046

Surgical Treatment of Unstable Pelvic Ring Fracture by Anterior Plating of Sacroiliac Joint

Document Type : Original Article

Authors

¹ Orthopedic Surgery Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt

² Orthopedic Surgery Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

³ Orthopedic Surgery Department, Damietta Faculty of Medicine, Al-Azhar Univeristy, Egypt

10.21608/ijma.2020.20216.1046

Abstract

Background: Pelvic ring fractures is not uncommon, and represented a challenge in their fixation. Anterior plating of sacroiliac joint seems to have less good outcome and low complications rate when compared to other approaches.
Aim of the work: The aim of this work is to assess the results of surgical treatment of unstable pelvic ring fractures with stabilization of sacroiliac joint with anterior plating, the results assessed clinically and radiologically.
Patients and methods: Fifteen patients with unstable pelvic ring fractures were included. All underwent full history taking, clinical and radiological evaluations and scheduled for anterior plating of sacroiliac joint. All were followed up for at least 15 months postoperatively.
Results: Radiologically, 53.3% had anatomic, 20.0% had moderate and 26.7% had nearly anatomic results. Clinically, satisfaction was reported by 80.0%. The union was achieved in 86.7% and no complications was reported among 80.0%. Complications were significantly associated with non-satisfactory outcome, and radiological outcome was significantly associated with AO-OTA classification.
Conclusion: Anterior pelvic plating combined with percutaneous sacroiliac joint screw fixation is effective treatment for unstable pelvic ring fractures with high success rate and low complications.

Keywords