Open Reduction Internal Versus Percutaneous Sacroiliac Screw Fixation in Unstable Posterior Ring Injury of Pelvic

Comparison of Open Reduction Internal Fixation and Percutaneous Sacroiliac Screw Fixation in Unstable Posterior Ring Injury of The Pelvic

Surgical trearment of unstable posterior pelvic injuries can be performed with open reduction and internal fixation, closed reduction with percutaneous sacroiliac fixation. Biomechanically, no significant difference was found between the two methods in the literature. The aim of our study is to compare the radiological and clinical functional results of these methods.

Study Overview

• Status: Recruiting
• Conditions: Orthopedic Disorder
• Intervention / Treatment: Procedure: closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

Detailed Description

Pelvic injuries are usually encountered in patients with polytrauma. These are injuries that need to be treated with a multidisciplinary approach. The primary approach is to stabilize the patient hemodynamically. Mortality rate in pelvic injuries reaches 10-20%.

The pelvis has a ring-shaped structure. It is the sacrum that transfers the load from the lower extremities to the axial spine from this structure. The joint between the sacrum and the ilium, that is, the joint that is exposed to the load, is the sacroiliac joint. For this reason, surgical treatments have been developed to stabilize the posterior pelvic ring, to mobilize the patient as soon as possible, to walk in a balanced way without leg length difference, to prevent loss of work force, and to shorten the hospitalization period. Open reduction internal fixation and closed reduction percutaneous sacroiliac screw fixation surgical methods have been described to ensure the stability of the posterior pelvic ring In this study, we evaluated the radiological and functional results of patients with posterior pelvic ring injuries stabilized by open and closed surgical approaches; We have compiled and summarized the current literature on pelvic injuries. We aimed to contribute to the literature by sharing our knowledge and findings about these difficult, complex and prone surgical techniques.

marks of conformity

1. Surgical intervention for sacroiliac joint fracture-dislocation
2. 18-65 years old patient
3. Patients who come to clinical follow-ups for at least 6 months

• Study Type: Observational
• Enrollment (Anticipated): 90

Contacts and Locations

• Study Contact: Name: Ali Aydin; Phone Number: +905386802430; Email: draliaydin@hotmail.com

Study Locations

• Turkey
  • Yakutiye
    • Erzurum, Yakutiye, Turkey, 25050
      • Recruiting
      • Atatürk University Faculty of Medicine
      • Contact: Ataturk University Faculty of Medicine, doctorate; Phone Number: 905324556473; Email: mehmetk103@hotmail.com
      • Principal Investigator: Ali Aydın, Prof. Dr.

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 61 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Patients aged 18-65 years who suffered pelvic injury admitted to Atatürk University Research Hospital

Description

Inclusion Criteria:

• Surgical intervention for sacroiliac joint fracture-dislocation
• 18-65 years old patient
• Patients who come to clinical follow-ups for at least six months
• not paralyzed

Exclusion Criteria:

• Patients under 18 years of age
• Patients older than 65 years
• Patients who did not come for their follow-up in our clinic
• paralyzed patients
• mentally retarded patients

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Control
• Time Perspectives: Retrospective

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
closed reduction percutaneous fixation method; Patients with closed reduction percutaneous sacroiliac screw fixation of posterior pelvic ring due to unstable pelvic injury	Procedure: closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring; closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring
open reduction anterior sacroiliac approach; Patients with fixation of the posterior pelvic ring by open reduction anterior approach due to unstable pelvic injury	Procedure: closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring; closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring
open reduction posterior sacroiliac approach; Patients with fixation of the posterior pelvic ring by open reduction posterior approach due to unstable pelvic injury	Procedure: closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring; closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
functional scoring	Grading of outcomes using the clinical functional scoring system for pelvic injuries defined by Majeed	at least 6 months
radiological scoring	Radiological grading of the treatment process of pelvic fracture with the measurement methods of pelvic plain radiographs defined by Matta and Henderson	at least 6 months

Collaborators and Investigators

• Sponsor: Ataturk University

Study record dates

Study Major Dates

• Study Start (Actual): March 10, 2022
• Primary Completion (Anticipated): November 10, 2022
• Study Completion (Anticipated): March 12, 2023

Study Registration Dates

• First Submitted: July 22, 2022
• First Submitted That Met QC Criteria: July 22, 2022
• First Posted (Actual): July 26, 2022

Study Record Updates

• Last Update Posted (Actual): August 5, 2022
• Last Update Submitted That Met QC Criteria: August 3, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: instabil pelvic injury, percutaneus sacroiliac screw
• Additional Relevant MeSH Terms: Musculoskeletal Diseases
• Other Study ID Numbers: Ataturk University Orthopedic

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No