Anatomical evidence for the anterior plate fixation of sacroiliac joint

Bai, Zhibiao; Gao, Shichang; Liu, Jia; Liang, Anlin; Yu, Weihua

doi:10.1016/j.jos.2017.09.003

Cited by 22 publications

(18 citation statements)

References 8 publications

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“…In the other group, three-hole plates were used because, according to Chen et al, 8 they offer more resistant fixation than two-hole ones. Special care was taken when mounting the models, since Bai et al 22 have demonstrated the importance of correctly placing the plates to maximize fixation stability. The fixation techniques of both the abovementioned studies were similar to those used here.…”

Section: Discussionmentioning

confidence: 99%

“…No outro grupo, optou-se por placas com três orifícios, pois segundo Chen, 8 este tipo de placa oferece fixação mais resistente do que a placa com dois orifícios, principalmente se são colocadas em angulo de 60° entre elas. Especial cuidado foi tomado na montagem dos modelos, pois Bai et al 22 demonstraram a importância da colocação correta das placas visando maximizar a estabilidade da fixação. As técnicas de fixação de ambos os estudos acima foram similares às aqui utilizadas.…”

Section: Discussionunclassified

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Placas anteriores são mais efetivas do que parafusos iliossacrais na fixação da articulação sacroilíaca? Estudo Biomecânico

Goldsztajn¹,

Mariolani

Belangero

2020

Rev Bras Ortop (Sao Paulo)

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Introduction Sacroiliac joint dislocations are caused by high energy trauma and commonly treated with the iliosacral screw fixation or the anterior plating of the sacroiliac joint (SIJ). However, there is a lack of consensus regarding which procedure is the most successful in treating sacroiliac joint dislocations. This aims to compare stiffness and maximum load of pelvises with sacroiliac joint dislocations treated with both procedures in a synthetic bone model. Methods Synthetic pelvises were mounted and divided into 2 treatment groups (n = 5): a model with two orthogonal plates placed anteriorly to the SIJ (PPS group) and another with two iliosacral screws fixating the SIJ (SPS group), both with pubic symphysis fixation. The maximum load supported by each sample was observed and the stiffness was calculated from the curve load vs displacement. The mean values of load to failure and stiffness for each group were compared with the Mann-Whitney U test (p < 0.05 was considered significant for all analysis). Results The mean load to failure supported by the PPS group was 940 ± 75 N and the SPS was 902 ± 56 N, with no statistical difference. The SPS group showed higher values of stiffness (68.6 ± 11.1 N/mm) with statistical significant difference in comparison to the PPS sample (50 ± 4.0 N/mm). The mode of failure was different in each group tested. Conclusion Despite lower stiffness, the anterior plating fixation of the sacroiliac joint can be very useful when the iliosacral screw fixation cannot be performed. Further studies are necessary to observe any differences between these two procedures on the clinical and surgical setting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

Placas anteriores são mais efetivas do que parafusos iliossacrais na fixação da articulação sacroilíaca? Estudo Biomecânico

Goldsztajn¹,

Mariolani

Belangero

2020

Rev Bras Ortop (Sao Paulo)

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“…Day et al divided crescent fracturedislocation (CFD) into three types: type I fracture involved the anterior 1/3 of the sacroiliac joint, type II fracture involved the middle 1/3 of the sacroiliac joint, and type III fracture involved the posterior 1/3 of the sacroiliac joint [8]. For the treatment of type II fractures, it was usually carried out by anterior or posterior approach open reduction and internal fixation (ORIF) [9][10][11]. But there was still some controversy about the surgical trauma and internal fixation methods [12].…”

Section: Introductionmentioning

confidence: 99%

Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: case-control study

et al. 2021

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Objective To investigate the clinical outcomes of percutaneous cross screws internal fixation for pelvic Day type II crescent fracture-dislocation. Methods We reviewed 66 consecutive patients undergoing surgical treatment for Day type II crescent fracture-dislocation from June 2005 to December 2017. Percutaneous cross screws internal fixation was performed in 40 patients, and open reduction and internal fixation was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared. Results There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision, and the hospital stay were significantly shorter in the percutaneous cross screws internal fixation group. No significant difference on Matta scores and Majeed scores between the two groups. The open reduction and internal fixation group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort, and pain. Conclusion Percutaneous cross screws internal fixation for Day II type pelvic crescent fracture-dislocation was safe and effective. Minimally invasive fixation had the advantages of short operation and hospitalization time, less intraoperative bleeding, and surgical trauma.

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“…Day et al divides crescent fracturedislocation (CFD) into three types: type fracture involves the anterior 1/3 of the sacroiliac joint, type fracture involves the middle 1/3 of the sacroiliac joint, and type fracture involves the posterior 1/3 of the sacroiliac joint [8]. For the treatment of type fractures, it is usually carried out by anterior or posterior approach open reduction and internal xation (ORIF) [9][10][11]. But there is still some controversy about the surgical trauma and internal xation methods [12].…”

Section: Introductionmentioning

confidence: 99%

Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for Day type II crescent fracture-dislocation: Case-control study

Xiang

Dong

Jiang

et al. 2020

Preprint

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Objective: To investigate the clinical outcomes of percutaneous cross screws internal fixation (PCSIF) for Day type II crescent fracture-dislocation (CFD). Methods: We reviewed 66 consecutive patients undergoing surgical treatment for Day type II CFD from June 2005 to December 2017. PCSIF was performed in 40 patients, and open reduction and internal fixation (ORIF) was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared. Results: There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision and the hospital stay were significantly shorter in the PCSIF Group. No significant difference on Matta scores and Majeed scores between the two groups. The ORIF Group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort and pain. Conclusion: PCSIF for Day Ⅱ type pelvic CFD was safe and effective. Minimally invasive fixation had the advantages of short operation time and hospitalization time, less intraoperative bleeding and less surgical trauma.

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Anatomical evidence for the anterior plate fixation of sacroiliac joint

Cited by 22 publications

References 8 publications

Placas anteriores são mais efetivas do que parafusos iliossacrais na fixação da articulação sacroilíaca? Estudo Biomecânico

Placas anteriores são mais efetivas do que parafusos iliossacrais na fixação da articulação sacroilíaca? Estudo Biomecânico

Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: case-control study

Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for Day type II crescent fracture-dislocation: Case-control study

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