重建钢板结合骶髂关节螺钉治疗复杂骶髂关节骨折脱位

目的：评价重建钢板结合骶髂关节螺钉技术治疗复杂骶髂关节骨折脱位的临床疗效。方法：对11例髂骨翼骨折合并骶髂关节脱位的Tile C型骨盆骨折病例，采用后路重建钢板结合骶髂关节螺钉技术固定骨盆后环，8例同时固定骨盆前环，采用Matta 评分标准和Majeed 功能评分进行疗效评定。结果：8例前后环同时固定者，术后2周骨盆疼痛消失；3例未行前环固定者，骨盆疼痛消失时间需6周以上，1例骶髂螺钉发生松动。根据Matta评分标准评定，优9例，良2例。根据Majeed功能评分评定，优7例，良4例。结论：对于骶髂关节骨折脱位的Tile C型骨盆骨折，联合重建钢板和骶髂关节螺钉可重建骨盆后环的稳定性，同时固定前环可更快恢复。

Treatment of complex sacroiliac joint fracture-dislocation with reconstruction plate and iliosacral screw

Objective: To evaluate the clinical efficacy of treating complex sacroiliac joint fracture-dislocation with reconstruction plate and iliosacral screw. Methods: 11 cases of iliac wing fracture with sacroiliac joint dislocation classified as Tile C-type pelvic fracture were treated with reconstruction plate and posterior iliosacral screw to fix the pelvic ring. Eight cases of them were performed anterior pelvic ring fixation at the same time. Matta score standards and Majeed functional score were used for efficacy evaluation. Results: Eight cases were performed both anterior and posterior ring fixation at the same time, pelvic pain resolved two weeks after operation; three cases withnot anterior fixation, pelvic pain disappear more than six weeks; one cases of sacroiliac screw loosening was observed. According to Matta criteria for fracture reduction, nine cases reach excellent and two cases well. And according to Majeed functional score evaluation, seven cases of excellent and four cases well. Conclusion: For complex sacroiliac joint fracture-dislocation of Tile C pelvic fractures, reconstruction plate combined with iliosacral screw technique can reconstruct the stability of posterior pelvic ring. Fixation of the anterior ring can quickly restore symptom resolve.