PERCUTANEOUS FIXATION OF PELVIC FRACTURE BY Acutrak FULL THREAD HEADLESS HOLLOW COMPRESSION SCREW_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Jian , WU Kejian , ZHANG Weijia , WU Wenwen , HOU Shuxun.

Department of Orthopedics, the First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, 100048, P.R.China.;

Corresponding author：

Keywords：

Pelvic fracture; Percutaneous technique; Headless hollow compression screw; Minimally invasive surgery

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【Abstract】 Objective To evaluate the effectiveness of percutaneous fixation of pelvic fracture by Acutrak full thread headless hollow compression screw. Methods Between March 2008 and April 2010, 31 patients with pelvic fracture underwent percutaneous fixation surgery with Acutrak full thread headless hollow compression screw (surgical group). The effectivenss was compared with those of 14 patients with pelvic fracture treated conservatively (control group). There was no significant difference in age and sex between 2 groups (P gt; 0.05). The injury was more severe in surgical group than in control group. The standard of short-term recovery was active turning over and walking for 5 steps with walking aids. The standard of long-term recovery was pain, gait, fracture healing, and function recovery. Results In surgical group, the other patients reached the standard of short-term recovery at 1-4 days after injury except 1 patient who had sacral plexus injury; in control group, the patients could turn over at 9-13 days (Tile type A2) and 17-25 days (Tile type B2) respectively, and could walk at 17-21 days (Tile type A2) and at 45-57 days (Tile type B2) respectively. The patients of 2 groups were followed up 6-19 months. The time of fracture healing was 2-6 months. The long-term results were excellent in 29 cases and good in 2 cases in surgical group, and were excellent in 8 cases and good in 6 cases in control group, showing significant difference between 2 groups (χ2=6.636, P=0.017).Conclusion Percutaneous internal fixation combined with Acutrak full thread headless hollow compression screw can provide more effective treatment. It can alleviate patients, pain quickly, improve life quality, and has better long-term effectiveness.

Citation： ZHANG Jian,WU Kejian,ZHANG Weijia,WU Wenwen,HOU Shuxun.. PERCUTANEOUS FIXATION OF PELVIC FRACTURE BY Acutrak FULL THREAD HEADLESS HOLLOW COMPRESSION SCREW. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(1): 91-96. doi: Copy

1.	Traumatol Cech, 2010, 77(6): 501-506.
2.	screws. Clin Orthop Relat Res, 1998, (350): 237-245.
3.	Trauma, 2008, 22(2): 81-87．.
4.	pereutaneous fixation of unstable pelvic ring fractures. Injury, 2008, 39(8): 869-874．.
5.	fractures: applicability of hip arthroscopy. Arthroscopy, 2010, 26(11): 1556-1561.
6.	of acetabular fractures with 2D fluoroscopy-based computerized navigation. Arch Orthop Trauma Surg, 2010, 130(9): 1177-1183.
7.	Cech, 2010, 77(2): 99-104.
8.	Lewis AJ, Sod GA, Burba DJ, et al. Compressive forces achieved in simulated equine third metacarpal bone lateral condylar fractures of varying fragment thickness with Acutrak Plus screw and 4.5 mm AO cortical screws. Vet Surg, 2010, 39(1): 78-82.
9.	王庆贤, 张英泽, 潘进社, 等. 髋臼前柱拉力螺钉内固定的定量解剖学研究. 中国临床解剖学杂志, 2004, 22(2): 133-135.
10.	王庆贤, 张英泽, 潘进社, 等. 髋臼后柱拉力螺钉内固定的定量解剖学研究. 中国临床解剖学杂志, 2004, 22(6): 596-598.
11.	Sen RK, Veerappa LA. Long-term outcome of conservatively managed displaced acetabular fractures. Trauma, 2009, 67(1): 155-159.
12.	Zeman J, Pavelka T, Matějka. Suicidal jumper’s fracture. Acta Chir Orthop.
13.	项大业, 池永龙, 郑安祥, 等. 经皮空心螺钉固定治疗垂直不稳定型骨盆骨折的临床应用. 中华医学杂志, 2007, 87(9): 585-589.
14.	郭晓山, 池永龙. 经皮闭合内固定治疗骨盆环损伤. 中华外科杂志, 2006, 44(4): 260-363.
15.	周海波, 郭晓山. 经皮固定骨盆环和髋臼损伤技术的研究进展. 中国骨伤, 2010, 23(9): 719-722.
16.	Wheeler DL, McLoughlin SW. Biomechanical assessment of compression.
17.	Routt ML Jr, Nork SE, Mills WJ. Percutaneous fixation of pelvic ring disruptions. Clin Orthop Relat Res, 2000, (375): 15-29．.
18.	Start AJ, Nakatani T, Reinert CM, et al. Superior pubic ramus fractures fixed with percutaneous screws: what predicts fixation failure? J Orthop.
19.	张前法, 付有伟, 赵卫东, 等. 骨盆后环骨折脱位不同内固定的生物力学研究. 中国修复重建外科杂志, 2009, 23(12): 1466-1468.
20.	Osterhoff G, Ossendorf C, Wanner GA, et al. Posterior screw fixation in rotationally unstable pelvic ring injuries. Injury, 2011, 42(10): 992-996.
21.	Schweitzer D, Zylberberg A, Córdova M, et al. Closed reduction and iliosacral.
22.	Yang JH, Chouhan DK, Oh KJ. Percutaneous screw fixation of acetabular.
23.	Mouhsine E, Garofalo R, Borens O, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury, 2005, 36(11): 1330-1336．.
24.	Rosenberger RE, Dolati B, Larndorfer R, et al. Accuracy of minimally invasive navigated acetabular and iliosacral fracture stabilization using a targeting and noninvasive registration device. Arch Orthop Trauma Surg, 2010, 130(2): 223-230.
25.	Hong G, Cong-Feng L, Cheng-Fang H, et al. Percutaneous screw fixation.
26.	Frank M, Dedek T, Trlica J, et al. Percutaneous fixation of anterior column acetabular fractures—first experience. Acta Chir Orthop Traumatol.

1. Traumatol Cech, 2010, 77(6): 501-506.
2. screws. Clin Orthop Relat Res, 1998, (350): 237-245.
3. Trauma, 2008, 22(2): 81-87．.
4. pereutaneous fixation of unstable pelvic ring fractures. Injury, 2008, 39(8): 869-874．.
5. fractures: applicability of hip arthroscopy. Arthroscopy, 2010, 26(11): 1556-1561.
6. of acetabular fractures with 2D fluoroscopy-based computerized navigation. Arch Orthop Trauma Surg, 2010, 130(9): 1177-1183.
7. Cech, 2010, 77(2): 99-104.
8. Lewis AJ, Sod GA, Burba DJ, et al. Compressive forces achieved in simulated equine third metacarpal bone lateral condylar fractures of varying fragment thickness with Acutrak Plus screw and 4.5 mm AO cortical screws. Vet Surg, 2010, 39(1): 78-82.
9. 王庆贤, 张英泽, 潘进社, 等. 髋臼前柱拉力螺钉内固定的定量解剖学研究. 中国临床解剖学杂志, 2004, 22(2): 133-135.
10. 王庆贤, 张英泽, 潘进社, 等. 髋臼后柱拉力螺钉内固定的定量解剖学研究. 中国临床解剖学杂志, 2004, 22(6): 596-598.
11. Sen RK, Veerappa LA. Long-term outcome of conservatively managed displaced acetabular fractures. Trauma, 2009, 67(1): 155-159.
12. Zeman J, Pavelka T, Matějka. Suicidal jumper’s fracture. Acta Chir Orthop.
13. 项大业, 池永龙, 郑安祥, 等. 经皮空心螺钉固定治疗垂直不稳定型骨盆骨折的临床应用. 中华医学杂志, 2007, 87(9): 585-589.
14. 郭晓山, 池永龙. 经皮闭合内固定治疗骨盆环损伤. 中华外科杂志, 2006, 44(4): 260-363.
15. 周海波, 郭晓山. 经皮固定骨盆环和髋臼损伤技术的研究进展. 中国骨伤, 2010, 23(9): 719-722.
16. Wheeler DL, McLoughlin SW. Biomechanical assessment of compression.
17. Routt ML Jr, Nork SE, Mills WJ. Percutaneous fixation of pelvic ring disruptions. Clin Orthop Relat Res, 2000, (375): 15-29．.
18. Start AJ, Nakatani T, Reinert CM, et al. Superior pubic ramus fractures fixed with percutaneous screws: what predicts fixation failure? J Orthop.
19. 张前法, 付有伟, 赵卫东, 等. 骨盆后环骨折脱位不同内固定的生物力学研究. 中国修复重建外科杂志, 2009, 23(12): 1466-1468.
20. Osterhoff G, Ossendorf C, Wanner GA, et al. Posterior screw fixation in rotationally unstable pelvic ring injuries. Injury, 2011, 42(10): 992-996.
21. Schweitzer D, Zylberberg A, Córdova M, et al. Closed reduction and iliosacral.
22. Yang JH, Chouhan DK, Oh KJ. Percutaneous screw fixation of acetabular.
23. Mouhsine E, Garofalo R, Borens O, et al. Percutaneous retrograde screwing for stabilisation of acetabular fractures. Injury, 2005, 36(11): 1330-1336．.
24. Rosenberger RE, Dolati B, Larndorfer R, et al. Accuracy of minimally invasive navigated acetabular and iliosacral fracture stabilization using a targeting and noninvasive registration device. Arch Orthop Trauma Surg, 2010, 130(2): 223-230.
25. Hong G, Cong-Feng L, Cheng-Fang H, et al. Percutaneous screw fixation.
26. Frank M, Dedek T, Trlica J, et al. Percutaneous fixation of anterior column acetabular fractures—first experience. Acta Chir Orthop Traumatol.

Chinese Journal of Reparative and Reconstructive Surgery

PERCUTANEOUS FIXATION OF PELVIC FRACTURE BY Acutrak FULL THREAD HEADLESS HOLLOW COMPRESSION SCREW

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