A comparison of percutaneous reduction and screw fixation versus open reduction and plate fixation of traumatic symphysis pubis diastasis
Archives of Orthopaedic and Trauma Surgery, ISSN: 0936-8051, Vol: 132, Issue: 2, Page: 265-270
2012
- 31Citations
- 36Captures
- 1Mentions
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Metrics Details
- Citations31
- Citation Indexes31
- 31
- CrossRef18
- Captures36
- Readers36
- 36
- Mentions1
- News Mentions1
- News1
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Article Description
Abstracts: Purpose: Plate fixation, the conventional treatment for traumatic symphysis pubis diastasis, carries the risk of extensive exposure, blood loss and postoperative infections. Percutaneous screw fixation is a minimally invasive treatment. The goal of the present study was to compare the outcome of plate fixation and percutaneous screw technique in the treatment of traumatic pubic symphysis diastasis. Methods: Ninety patients with traumatic symphysis pubis diastasis were treated from January 2003 to December 2009 at two level 1 regional trauma centers. The mean time of follow-up was 21 months (18 to 26). Forty-five patients were treated by percutaneous screw fixation. Forty-five patients were treated by plate and screws fixation. The demographic, distribution of fracture patterns, blood loss, incision length, fixation failure, malunion, revision surgery and functional scores were compared. Results: Seven cases were lost during follow-up. Demographics (age and gender), fracture classification and Injury Severity Score were comparable in the two groups (P > 0.05). Blood loss and extensive exposure were much less in screw group (P < 0.01). Patients in screw group achieved better functional performance (P = 0.01). There were no significant differences favoring plate fixation in reduction quality (P = 0.32), implant failure (P = 0.39), malunion (P = 0.15), revision surgery rates (P = 0.27), percentage of impotence in the male patients (P = 0.2) and implant removal time (P = 0.12) between the two groups. Conclusions: Our results indicate that besides lower rate of iatrogenic injuries and better functional outcome, percutaneous screw fixation of the pubic symphysis is as strong as plate fixation. © 2011 Springer-Verlag.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84857627437&origin=inward; http://dx.doi.org/10.1007/s00402-011-1414-2; http://www.ncbi.nlm.nih.gov/pubmed/22139387; http://link.springer.com/10.1007/s00402-011-1414-2; https://dx.doi.org/10.1007/s00402-011-1414-2; https://link.springer.com/article/10.1007/s00402-011-1414-2; http://www.springerlink.com/index/10.1007/s00402-011-1414-2; http://www.springerlink.com/index/pdf/10.1007/s00402-011-1414-2
Springer Science and Business Media LLC
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