Pelvic ring fracture with incomplete posterior arch disruption
Conditions
Interventions
Closed reduction and percutaneous multi-channel screw fixation group for pelvic fractures:Accept the surgical method of closed reduction and percutaneous multi-channel screw fixation
Pelvic fracture open reduction and internal fixation group:undergo open reduction and internal fixation surgery
Sponsors
The First Affiliated Hospital (Southwest Hospital) of Army Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1: Aged between 18 and 60, with no gender restrictions; 2: Clinical diagnosis with surgical indications: Pelvic anterior ring injuries: (1). Tile B fractures; (2).Pubic symphysis separation; Pelvic posterior ring injuries: (1). Tile B fractures; (2). Sacroiliac ligament injuries, sacroiliac joint dislocations, and longitudinal fractures of the sacrum; 3: Complete pelvic ring injury: Tile C fracture; 4: Patients admitted to the emergency department; 5: Agree to perform early closed reduction percutaneous multi-channel screw fixation or open reduction and internal fixation for pelvic fractures, and the patient and family members shall sign the informed consent form before the operation.
Exclusion criteria
Exclusion criteria: 1: Comminuted fracture of S1 vertebral body; 2: The comminuted fracture of the iliac wing cannot be reduced by closed reduction; 3: Severe osteoporosis; 4: Severe developmental malformation; 5: Old pelvic fracture; 6: History of cerebral infarction or cerebral hemorrhage within 6 months; 7: History of unstable angina pectoris or myocardial infarction within 6 months; 8: Severe mental illness; 9: Pregnant and lactating women; 10: Combined with shock, infection, or open wound.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Majeed functional rating; | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of surgery;Intraoperative blood loss;Unintended injuries to pelvic blood vessels and nerves;Postoperative drainage volume;Wound healing;Length of hospital stay; (Time window: preoperative hospital stay, postoperative hospital stay);Matta Imaging Score for Postoperative Pelvic Fracture;Postoperative pelvic fracture healing status;Follow up on postoperative complications: deep vein thrombosis, skin pressure ulcers, malunion of fractures, and pain levels; | — |
Countries
China
Contacts
Public ContactQiang Xiang
The First Affiliated Hospital (Southwest Hospital) of Army Medical University
Outcome results
None listed