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首页> 外文期刊>Injury >Good functional outcome in patients suffering fragility fractures of the pelvis treated with percutaneous screw stabilisation: Assessment of complications and factors influencing failure
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Good functional outcome in patients suffering fragility fractures of the pelvis treated with percutaneous screw stabilisation: Assessment of complications and factors influencing failure

机译：用经皮螺杆稳定处理的骨盆患者患者患者患者的良好功能结果：评估并发症和影响失败的因素

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Abstract Background Low energy pelvic ring fractures in the elderly have traditionally been treated conservatively, a treatment with potential long-term complications and loss of self-independence. Percutaneous screw stabilisation of the posterior pelvic ring is a new treatment modality that enables immediate mobilisation. The aim of this study was to assess the functional outcome after sacroiliac stabilisation in the elderly. Methods All elderly patients with a surgically stabilised low energy pelvic fracture between 2010 and 2015 were included. In 2016 a radiographic follow up and functional test was performed at least one year postoperative. Results The 50 operated patients had a mean age of 79 years and a one-year mortality of 10% (5/50). Only six patients lost independency after the pelvic fracture and moved to nursing home. The mean Timed Up and Go test was 16s at follow-up. The operation of the posterior pelvic ring averaged 63min with a radiation equal to a diagnostic pelvic CT. One intra-foraminally placed screw was immediately removed and 9 patients were later re-operated on due to symptomatic loosening of one or more screws. No loosening of screws was seen in 11 patients where both S1 and S2 were stabilised and out of 23 trans-sacral screws (crossing both sacroiliac joints) only two loosened. Discussion CT guided stabilisation of the posterior pelvis is safe and most patients resumed good function and independent living. The risk of a revision operation was 20%, but trans-sacral screw stabilisation in both S1 and S2 could reduce the risk of implant loosening.
机译：摘要背景，老年人的低能量盆腔骨折传统上是保守的治疗，潜在的长期并发症和自主丧失的治疗。后骨瓣的经皮螺杆稳定是一种新的治疗方式，可以立即动员。本研究的目的是评估老年骶髂稳定后的功能结果。方法包括2010年至2015年在2010年至2015年间手术稳定低能量骨盆骨折的所有老年患者。 2016年，术后至少一年进行射线照相跟踪和功能试验。结果50名经营患者的平均年龄为79岁，一年的死亡率为10％（5/50）。只有六名患者在骨盆骨折后失去独立性，并搬到了养老院。随访时，平均定时和去测试是16年代。后骨盆环的操作平均为63min，辐射等于诊断骨盆CT。立即移除一个接种型螺钉，并且由于一个或多个螺钉的症状松动，9名患者稍后重新运行。在11名患者中，没有螺钉松开，其中S1和S2均稳定并从23个反式骶骨螺钉（穿过骶髂关节）中只有两个松动。讨论后骨盆的CT引导稳定是安全的，大多数患者恢复了良好的功能和独立生活。修订操作的风险为20％，但S1和S2中的跨骶骨螺杆稳定可以降低植入物松动的风险。

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