Safety and efficacy of two ilioiliac tension band plates osteosynthesis of fragility fractures of the pelvis

Michał Kułakowski, Paweł Reichert, Karol Elster, Paweł Ślęczka, Łukasz Oleksy, Aleksandra Królikowska, Michał Kułakowski, Paweł Reichert, Karol Elster, Paweł Ślęczka, Łukasz Oleksy, Aleksandra Królikowska

Abstract

The study retrospectively determined the efficacy and safety of fixation of the pelvis (FFP) fragility fractures type IV using two tension band ilioiliac locking compression plates. Forty-one patients with FFP were treated in 2017-2020. 16 patients with FFP type IV, unable to walk weight-bearing, were treated by fixation using two tension band ilioiliac locking compression plates without fixing the anterior ring. Preoperatively and one year postoperatively, the functional outcome and performance were assessed using Pelvic Discomfort Index (PDI) and Timed Up and Go (TUG) test. Pre- and postoperative hemoglobin level was evaluated. Operation time and intra-and postoperative complications were documented. One year postoperatively, an X-ray was taken. The arithmetic mean (x) and standard deviations (±) of quantitative variables were calculated. T-test for dependent samples was used for pre-and postoperative results comparison. The PDI improved (p < 0.001) from x = 81.42 ± 4.04 to x = 36.19 ± 15.58. Preoperatively none of the patients was able to perform the TUG test. Postoperatively, the result exceeded x = 13.13 ± 3.99 s. The operation lasted x = 42.80 ± 8.90 min. Hemoglobin decreased (p < 0.001) from 11.63 ± 1.11 to 9.07 ± 1.21 g/dL. No complications nor fixation loosening were noted. The study support fixation using two tension band ilioiliac locking compression plates as an efficient and safe treatment of the FFP type IV.

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s).

Figures

Figure 1
Figure 1
Bilateral fracture of the sacrum with moderate displacement on the right and slight displacement on the left side.
Figure 2
Figure 2
Fracture of the anterior ring showing a right-sided pubic bone fracture.
Figure 3
Figure 3
Postoperative CT of the posterior pelvis showing the sacral fractures fixed with ilioiliac plates. One screw on the right side is touching the sacral foramen.
Figure 4
Figure 4
Postoperative pelvic overview showing the sacral fracture fixed with 2 ilioiliac plates.

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Source: PubMed

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