Percutaneous Fixation of Combined Pelvic and Acetabular Fractures

Abstract

Background: Despite improvements in surgical technique and approach, functional outcomes don't always yield the desired outcome. New percutaneous treatment techniques have been developed to maintain anatomic reduction and stable fixation of the pelvic and acetabular fractures. Patients and Methods: At Zagazig University's Faculty of Medicine, in the orthopaedic department, we conducted a clinical trial study with 18 patients. Clinical and radiological evaluations both before and after surgery were performed. Results: The average age of the study group was (33.5) years. About three-quarters were males (72.2%). Motor vehicle accidents were the most common mode of injury (72.2%). More than half of the study group had a transverse fracture (66.7%). The sacro iliac joint disruption was associated in (33.3%) of cases. Anterior and posterior screws with ileosacral screws were the most common type of fixation among the studied group (27.8%), with average days till surgery of (3.7). Regarding the outcome, the anatomical outcome was gained in half of the studied group (50.0%) and a satisfactory outcome was gained in (44.4%), while only one case (5.6%) had an unsatisfactory outcome. More than two-thirds (72.2%) had an excellent Merle d’aubigné score. There were no postoperative complications in most cases (88.9%), and only 2 cases (11.1%) had medial cortex penetration. Conclusion: Percutaneous screw fixation is a safe and effective procedure with little morbidity and complication risk for patients with combined pelvic and acetabular fractures.