SHORT-TERM EFFECTIVENESS OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN TREATMENT OF ANTERIOR PELVIC RING FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 CHENMing , HANZhimin , LIZhiyun , CAIQiangqiang , TUJunling

Department of Orthopaedics, the First Affiliated Hospital, Nanchang University, Nanchang Jiangxi, 330006, P. R. China;

Corresponding author：

CHENMing, Email: manchan8@126.com

Keywords：

Anterior pelvic ring fracture; Minimally invasive percutaneous plate osteosynthesis; Short-term effectiveness

DOI：

10.7507/1002-1892.20140236

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the short-term effectiveness of minimally invasive percutaneous plate osteosynthesis (MIPPO) in treatment of anterior pelvic ring fractures. Methods Between January 2012 and October 2013, 16 patients with anterior pelvic ring fractures were treated with MIPPO. There were 10 males and 6 females at the age of 20-63 years (mean, 41 years). The causes of injury were traffic accident in 9 cases and falling from height in 7 cases. The duration of injury to admission was 2 hours to 5 days (mean, 1 day). According to Tile classification, 8 cases were rated as type B2, 4 cases as type B3, 2 cases as type C1, and 2 cases as type C2. Of them, 2 cases had iliac wing fracture, and 4 cases had pelvic posterior ring fracture. The time from admission to operation was 3-12 days (mean, 6 days). Results The bleeding volume was 60-120 mL (mean, 70 mL). All wounds healed by first intention. No postoperative complication of deep venous thrombosis or long-term continuous pain occurred. All cases were followed up 5-27 months (mean, 11.5 months). No clinical manifestation of lateral femoral cutaneous nerve injury or spermatic cord injury was found, and cremasteric reflex existed in males. All cases obtained bony union, and the healing time was 12-16 weeks (mean, 13 weeks). During the follow-up period, no loss of fracture reduction and no internal fixation loosening or broken were observed. According to Matta radiological evaluation criterion, 16 cases had anatomical reduction, and 3 cases had satisfactory reduction; according to Majeed scoring system of pelvic fracture, the results were excellent in 12 cases and good in 4 cases. Conclusion MIPPO for treatment of anterior pelvic ring fractures has the advantages of less intraoperative blood loss, few soft tissue complications, and low infection rate, and can get satisfactory short-term effectiveness.

Citation： CHENMing, HANZhimin, LIZhiyun, CAIQiangqiang, TUJunling. SHORT-TERM EFFECTIVENESS OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN TREATMENT OF ANTERIOR PELVIC RING FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(9): 1082-1085. doi: 10.7507/1002-1892.20140236 Copy

1.	Polat A, Özkan E, Ülkü TK, et al.The relationship between pelvic (ring and acetabulum) fractures and organ injuries.Eur J Orthop Surg Traumatol, 2012, 22(1):35-39.
2.	Reto Babst, Suthorn Bavonratanavech, Rodrigo Pesantez.Minimally Invasive Plate Osteosynthesis (MIPO).Germany:Thieme Medical Publishers, 2012:1-768.
3.	Tile M.Fractures of the pelvis and acetabulum.Philadephia:Lippincott, Williams&Wilkins, 1995:66-101.
4.	Matta JM, Tometta P 3rd.Internal fixation of unstable pelvic ring injuries.Clin Orthop Relat Res, 1996, (329):129-140.
5.	Majeed SA.Grading the outcome of pelvic fractures.J Bone Joint Surg (Br), 1989, 71(2):304-306.
6.	Scaglione M, Parehi P, Digrandi G, et al.External fixation in pelvic fractures.Musculoskelet Surg, 2010, 94(2):63-70.
7.	陈明, 陈国庆, 董启榕.微创经皮钢板内固定治疗胫骨骨折.中华创伤骨科杂志, 2007, 9(2):194-195.
8.	陈明, 董启榕, 郭承军.微创经皮钢板内固定术治疗胫骨近关节部位骨折的临床研究.中国修复重建外科杂志, 2008, 22(6):765-766.
9.	Tile M.Pelvic ring fractures:should they be fixed? J Bone Joint Surg (Br), 1988, 70(1):1-12.
10.	Moazzam C, Heddings AA, Moodie P, et al.Anterior pelvic subcutaneous internal fixator application:an anatomic study.J Orthop Trauma, 2012, 26(5):263-268.
11.	张殿英, 郁凯, 董胜利, 等.微创经皮桥接钢板技术治疗骨盆前环骨折的疗效分析.中华创伤杂志, 2013, 29(1):33-37.
12.	Cole PA, Gauger EM, Anadan J, et al.Anterior pelvic external fixation versus subcutaneous intemal fixation in the treatment of anterior ring pelvic fractures.J Orthop Trauma, 2012, 26(5):269-277.
13.	Simonian PT, Routt ML Jr, Harrington RM, et al.Biomechanical simulation of the anteroposterior compression injury of the pelvis.An understanding of instability and fixation.Clin Orthop Relat Res, 1994, (309):245-256.
14.	Stöckle U, Krettek C, Pohlemann T, et al.Clinical applications-pelvis.Injury, 2004, 35 Suppl 1:S-A46-56.
15.	饶志涛, 王树青, 王家骐, 等.经骨盆前环皮下钢板内固定治疗骨盆前环骨折.中国矫形外科杂志, 2014, 22(3):277-280.
16.	Müller FJ, Stosiek W, Zellner M, et al.The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures.Clinical and radiological mid-term results.Int Orthop, 2013, 37(11):2239-2245.
17.	Hiestcnnan TG, Hill BW, Cole PA.Surgical technique:a percutaneous method of subcutaneous fixation for the anterior pelvic ring:the pelvic bridse.Clin Orthop Relat Res, 2012, 470(8):2116-2123.

1. Polat A, Özkan E, Ülkü TK, et al.The relationship between pelvic (ring and acetabulum) fractures and organ injuries.Eur J Orthop Surg Traumatol, 2012, 22(1):35-39.
2. Reto Babst, Suthorn Bavonratanavech, Rodrigo Pesantez.Minimally Invasive Plate Osteosynthesis (MIPO).Germany:Thieme Medical Publishers, 2012:1-768.
3. Tile M.Fractures of the pelvis and acetabulum.Philadephia:Lippincott, Williams&Wilkins, 1995:66-101.
4. Matta JM, Tometta P 3rd.Internal fixation of unstable pelvic ring injuries.Clin Orthop Relat Res, 1996, (329):129-140.
5. Majeed SA.Grading the outcome of pelvic fractures.J Bone Joint Surg (Br), 1989, 71(2):304-306.
6. Scaglione M, Parehi P, Digrandi G, et al.External fixation in pelvic fractures.Musculoskelet Surg, 2010, 94(2):63-70.
7. 陈明, 陈国庆, 董启榕.微创经皮钢板内固定治疗胫骨骨折.中华创伤骨科杂志, 2007, 9(2):194-195.
8. 陈明, 董启榕, 郭承军.微创经皮钢板内固定术治疗胫骨近关节部位骨折的临床研究.中国修复重建外科杂志, 2008, 22(6):765-766.
9. Tile M.Pelvic ring fractures:should they be fixed? J Bone Joint Surg (Br), 1988, 70(1):1-12.
10. Moazzam C, Heddings AA, Moodie P, et al.Anterior pelvic subcutaneous internal fixator application:an anatomic study.J Orthop Trauma, 2012, 26(5):263-268.
11. 张殿英, 郁凯, 董胜利, 等.微创经皮桥接钢板技术治疗骨盆前环骨折的疗效分析.中华创伤杂志, 2013, 29(1):33-37.
12. Cole PA, Gauger EM, Anadan J, et al.Anterior pelvic external fixation versus subcutaneous intemal fixation in the treatment of anterior ring pelvic fractures.J Orthop Trauma, 2012, 26(5):269-277.
13. Simonian PT, Routt ML Jr, Harrington RM, et al.Biomechanical simulation of the anteroposterior compression injury of the pelvis.An understanding of instability and fixation.Clin Orthop Relat Res, 1994, (309):245-256.
14. Stöckle U, Krettek C, Pohlemann T, et al.Clinical applications-pelvis.Injury, 2004, 35 Suppl 1:S-A46-56.
15. 饶志涛, 王树青, 王家骐, 等.经骨盆前环皮下钢板内固定治疗骨盆前环骨折.中国矫形外科杂志, 2014, 22(3):277-280.
16. Müller FJ, Stosiek W, Zellner M, et al.The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures.Clinical and radiological mid-term results.Int Orthop, 2013, 37(11):2239-2245.
17. Hiestcnnan TG, Hill BW, Cole PA.Surgical technique:a percutaneous method of subcutaneous fixation for the anterior pelvic ring:the pelvic bridse.Clin Orthop Relat Res, 2012, 470(8):2116-2123.

Chinese Journal of Reparative and Reconstructive Surgery

SHORT-TERM EFFECTIVENESS OF MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN TREATMENT OF ANTERIOR PELVIC RING FRACTURES

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content