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Posterior Pelvik Halka Yaralanmalarında Posterior Perkütan Transiliak Plak Tespiti Sonuçları

Year 2022, Volume: 9 Issue: 1, 59 - 62, 29.04.2022
https://doi.org/10.47572/muskutd.911722

Abstract

 Sakrum kırıklarının teşhisi ve tedavisi günümüzde halen zorlayıcı olabilmektedir. Literatürde sakral kırıkların tedavisi için çeşitli cerrahi yöntemler bildirilmiştir. Çalışmamızın amacı kliniğimizde posterior perkütan transiliak plak ile tedavi edilen hastaların fonksiyonel sonuçlarını incelemektir. Haziran 2013 ile Eylül 2020 tarihleri arasında posterior pelvik halka yaralanması nedeniyle cerrahi tedavi uygulanan ve en az 6 aylık takip süresi olan 56 hasta retrospektif olarak incelendi. Postoperatif 6. ayda demografik veriler, radyolojik görüntüler, Pelvik Sonuç Skorları (POS) ve Kısa Form-36 (SF-36) sonuçları analiz edildi. Hastaların 6. ay muayenesinde saptanan POS verileri incelendiğinde ortalama pelvik sonuç skoru 32 (26-37) ve SF-36 sonuçları 80 (48-90) olarak bulundu. Ortalama cerrahi işlem süresi 32,2 dakika ve ameliyat sırasında alınan ortanca floroskopi çekim sayısı 2 (1-6) idi. Posterior perkütan transiliak plak tespiti yapılan hastaların 6. ay muayenelerinde fonksiyonel sonuçları tatmin ediciydi. Bu teknik ile ameliyat süresinin kısa ve floroskopi maruziyetlerinin düşük olduğu görüldü. Kısa bir öğrenme eğrisine sahip olan bu tekniğin sakrum cerrahisinde güvenle kullanılabileceğine inanıyoruz. Bu nedenle pelvik cerrahi konusunda tecrübesi olmayan cerrahlar için bu yöntem daha kolay ve daha uygun bir yöntem gibi görünmektedir.

References

  • 1. Hak DJ, Baran S, Stahel P. Sacral fractures: current strategies in diagnosis and management. Orthopedics. 2009;32(10). orthosupersite.com/view.asp?rID=44034.
  • 2. Alemdaroğlu KB, Yücens M, Kara T, Gül D, Aydoğan NH. Pedicle axis view combined by sacral mapping can decrease fluoroscopic shot count in percutaneous iliosacral screw placement. Injury. 2014;45(12):1921-7.
  • 3. El Dafrawy MH, Raad M, Okafor L, Kebaish KM. Sacropelvic fixation: A comprehensive review. Spine Deform. 2019;7(4):509-16.
  • 4. Liuzza F, Silluzio N, Florio M, El Ezzo O, Cazzato G, Ciolli G, et al. Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience. Int Orthop. 2019;43(1):177-85.
  • 5. Cole JD, Blum DA, Ansel LJ. Outcome after fixation of unstable posterior pelvic ring injuries. Clin Orthop Relat Res. 1996;329:160-79.
  • 6. Krappinger D, Larndorfer R, Struve P, Rosenberger R, Arora R, Blauth M. Minimally invasive transiliac plate osteosynthesis for type C injuries of the pelvic ring: a clinical and radiological follow-up. J Orthop Trauma. 2007;21(9):595-602.
  • 7. Tornetta P, 3rd, Matta JM. Outcome of operatively treated unstable posterior pelvic ring disruptions. Clin Orthop Relat Res. 1996;329:186-93.
  • 8. Iguchi T, Ogawa K, Doi T, Miyasho K, Munetomo K, Hiraki T, et al. Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. Skeletal Radiol. 2010;39(7):701-5.
  • 9. Osterhoff G, Ossendorf C, Wanner GA, Simmen HP, Werner CM. Percutaneous iliosacral screw fixation in S1 and S2 for posterior pelvic ring injuries: technique and perioperative complications. Arch Orthop Trauma Surg. 2011;131(6):809-13.
  • 10. Hinsche AF, Giannoudis PV, Smith RM. Fluoroscopy-based multiplanar image guidance for insertion of sacroiliac screws. Clin Orthop Relat Res. 2002;395:135-44.
  • 11. Kobbe P, Hockertz I, Sellei RM, Reilmann H, Hockertz T. Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate. Int Orthop. 2012;36(1):159-64.
  • 12. Chen HW, Liu GD, Fei J, Yi XH, Pan J, Ou S, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci. 2012;17(5):580-7.
  • 13. Kılınc CY. Which Technique Should Be Choosed in Posterior Pelvic Ring Injuries: Percutaneous Sacroiliac Screw Fixation Technique or Posterior Percutaneous Transiliac Plating Technique? KÜ Tıp Fak Derg. 2019;21(1):80-4.

The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries

Year 2022, Volume: 9 Issue: 1, 59 - 62, 29.04.2022
https://doi.org/10.47572/muskutd.911722

Abstract

The diagnose and treatment of sacrum fractures are still difficult to manage. Various surgical methods have been reported for the treatment of sacral fractures in the literature. The aim of our study is to examine the functional results of patients treated with posterior percutaneous transiliac plate in our clinic. 56 patients who underwent surgical treatment for posterior pelvic ring injury between June 2013 and September 2020 and who had a minimum 6-month follow-up were retrospectively analyzed. Demographic data, radiological images, Pelvic Outcome Scores (POS) and Short Form-36 (SF-36) results in the 6th postoperative month were analyzed. When the POS data detected at the 6th month examination were examined, the mean pelvic outcome score was found to be 32 (26-37) and the SF-36 results as 80 (48-90). The mean duration of the surgical procedure was 32.2 minutes, and the median number of fluoroscopy shots taken during surgery was 2 (1-6). The functional results of the patients who underwent posterior percutaneous transiliac plate fixation were good at the6th month examinations. With this technique, it was observed that the operation time was short and fluoroscopy exposures were low. We believe that this technique, which has a short learning curve, can be used safely in sacrum surgery. For that reason, this method seems to be an easier and more convenient method for surgeons who are not experienced in pelvic surgery.

References

  • 1. Hak DJ, Baran S, Stahel P. Sacral fractures: current strategies in diagnosis and management. Orthopedics. 2009;32(10). orthosupersite.com/view.asp?rID=44034.
  • 2. Alemdaroğlu KB, Yücens M, Kara T, Gül D, Aydoğan NH. Pedicle axis view combined by sacral mapping can decrease fluoroscopic shot count in percutaneous iliosacral screw placement. Injury. 2014;45(12):1921-7.
  • 3. El Dafrawy MH, Raad M, Okafor L, Kebaish KM. Sacropelvic fixation: A comprehensive review. Spine Deform. 2019;7(4):509-16.
  • 4. Liuzza F, Silluzio N, Florio M, El Ezzo O, Cazzato G, Ciolli G, et al. Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience. Int Orthop. 2019;43(1):177-85.
  • 5. Cole JD, Blum DA, Ansel LJ. Outcome after fixation of unstable posterior pelvic ring injuries. Clin Orthop Relat Res. 1996;329:160-79.
  • 6. Krappinger D, Larndorfer R, Struve P, Rosenberger R, Arora R, Blauth M. Minimally invasive transiliac plate osteosynthesis for type C injuries of the pelvic ring: a clinical and radiological follow-up. J Orthop Trauma. 2007;21(9):595-602.
  • 7. Tornetta P, 3rd, Matta JM. Outcome of operatively treated unstable posterior pelvic ring disruptions. Clin Orthop Relat Res. 1996;329:186-93.
  • 8. Iguchi T, Ogawa K, Doi T, Miyasho K, Munetomo K, Hiraki T, et al. Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. Skeletal Radiol. 2010;39(7):701-5.
  • 9. Osterhoff G, Ossendorf C, Wanner GA, Simmen HP, Werner CM. Percutaneous iliosacral screw fixation in S1 and S2 for posterior pelvic ring injuries: technique and perioperative complications. Arch Orthop Trauma Surg. 2011;131(6):809-13.
  • 10. Hinsche AF, Giannoudis PV, Smith RM. Fluoroscopy-based multiplanar image guidance for insertion of sacroiliac screws. Clin Orthop Relat Res. 2002;395:135-44.
  • 11. Kobbe P, Hockertz I, Sellei RM, Reilmann H, Hockertz T. Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate. Int Orthop. 2012;36(1):159-64.
  • 12. Chen HW, Liu GD, Fei J, Yi XH, Pan J, Ou S, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci. 2012;17(5):580-7.
  • 13. Kılınc CY. Which Technique Should Be Choosed in Posterior Pelvic Ring Injuries: Percutaneous Sacroiliac Screw Fixation Technique or Posterior Percutaneous Transiliac Plating Technique? KÜ Tıp Fak Derg. 2019;21(1):80-4.
There are 13 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Original Article
Authors

Emre Gultac 0000-0003-1943-2199

Fatih Can 0000-0001-5880-5336

Cem Yalın Kılınç 0000-0003-2568-0500

İsmail Gökhan Şahin 0000-0002-6274-6102

Rabia Mihriban Kılınç 0000-0002-6845-5496

Nevres Aydoğan 0000-0002-1837-2676

Publication Date April 29, 2022
Submission Date April 8, 2021
Published in Issue Year 2022 Volume: 9 Issue: 1

Cite

APA Gultac, E., Can, F., Kılınç, C. Y., Şahin, İ. G., et al. (2022). The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 9(1), 59-62. https://doi.org/10.47572/muskutd.911722
AMA Gultac E, Can F, Kılınç CY, Şahin İG, Kılınç RM, Aydoğan N. The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries. MMJ. April 2022;9(1):59-62. doi:10.47572/muskutd.911722
Chicago Gultac, Emre, Fatih Can, Cem Yalın Kılınç, İsmail Gökhan Şahin, Rabia Mihriban Kılınç, and Nevres Aydoğan. “The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9, no. 1 (April 2022): 59-62. https://doi.org/10.47572/muskutd.911722.
EndNote Gultac E, Can F, Kılınç CY, Şahin İG, Kılınç RM, Aydoğan N (April 1, 2022) The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 1 59–62.
IEEE E. Gultac, F. Can, C. Y. Kılınç, İ. G. Şahin, R. M. Kılınç, and N. Aydoğan, “The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries”, MMJ, vol. 9, no. 1, pp. 59–62, 2022, doi: 10.47572/muskutd.911722.
ISNAD Gultac, Emre et al. “The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9/1 (April 2022), 59-62. https://doi.org/10.47572/muskutd.911722.
JAMA Gultac E, Can F, Kılınç CY, Şahin İG, Kılınç RM, Aydoğan N. The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries. MMJ. 2022;9:59–62.
MLA Gultac, Emre et al. “The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, vol. 9, no. 1, 2022, pp. 59-62, doi:10.47572/muskutd.911722.
Vancouver Gultac E, Can F, Kılınç CY, Şahin İG, Kılınç RM, Aydoğan N. The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries. MMJ. 2022;9(1):59-62.