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OUTCOME OF OPEN REDUCTION INTERNAL FIXATION FOR FRACTURE - DISLOCATION SACROILIAC JOINT INJURIES
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Abstract
Backgrounds: Sacroiliac joint fracture is a serious injury to the posterior pelvic ring, so surgical intervention is recommended to correct the anatomy and recover functional outcomes. Objectives: To study the related factors and clinical results of open reduction internal fixation (ORIF) in the treatment of fracture - dislocations sacroiliac joint (SIJ). Materials and methods: 48 fracture - dislocations sacroiliac joint, were treated by open reduction internal fixation at the Trauma and Orthopedics of department, Cho Ray Hospital (from January 2015 to June 2019). Results: Most of the cases of fracture - dislocations sacroiliac joint caused by traffic accidents account for 75% and damage to other organs (47/48). There were 36 fracture - dislocations sacroiliac joint classified according to the Day classification: Day I (27.8%), Day II (30.6%) and Day III (41.7%). The anatomical reduction was good and excellent according to Lindahl radiological scale 87.5%. The anatomical reduction was independent on the type of injury and the time of surgical intervention. There was 1 case of injury to the superior gluteal branch of the internal iliac artery and was occluded on DSA. 4 cases of wound infections were debridement and not removed instrument. All patients were bone healing. The functional results were good and excellent according to the Majeed score: 93.8% and was not related to factors such as injury type, surgical intervention timing, and anatomical reduction. Conclusion: The fracture -dislocations sacroiliac joint is multi trauma, with damage to other organs. The open reduction internal fixation results in good anatomical reduction and fuctionnal outcome.
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Keywords
Sacroiliac joint, dislocation - fracture sacroiliac joint, SIJ screw, CT scan
References
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