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

NCT ID: NCT05473611

Last Updated: 2022-08-05

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 90 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-03-10
• Study Completion Date: 2023-03-12

Brief Summary

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.

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

Conditions

Orthopedic Disorder

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: RETROSPECTIVE

Study Groups

closed reduction percutaneous fixation method

Patients with closed reduction percutaneous sacroiliac screw fixation of posterior pelvic ring due to unstable pelvic injury

closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

Intervention Type: PROCEDURE

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

closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

Intervention Type: PROCEDURE

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

closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

Intervention Type: PROCEDURE

closed reduction percutaneous fixation with open reduction internal fixation of the posterior pelvic ring

Interventions

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

Intervention Type: PROCEDURE

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ataturk University

OTHER

Sponsor Role: lead

Responsible Party

Mehmet Koçaslan

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Ataturk University Faculty of Medicine

Erzurum, Yakutiye, Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Ali Aydin

Role: CONTACT

draliaydin@hotmail.com

+905386802430

Facility Contacts

Ataturk University Faculty of Medicine, doctorate

Role: primary

mehmetk103@hotmail.com

905324556473

Other Identifiers

Ataturk University Orthopedic

Identifier Type: -

Identifier Source: org_study_id