Cargando…

Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw

BACKGROUND: The aim of the study was to introduce a new percutaneous technique for the treatment of traumatic pubic symphysis diastasis using a TightRope and external fixator. A comparison between this technique and percutaneous fixation using a cannulated screw was performed. METHODS: From January...

Descripción completa

Detalles Bibliográficos
Autores principales: Feng, Yongzeng, Hong, Jianjun, Guo, Xiaoshan, Lin, Chuangxin, Ling, Wei, Zhang, Lifeng, Wang, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882846/
https://www.ncbi.nlm.nih.gov/pubmed/27233837
http://dx.doi.org/10.1186/s13018-016-0397-7
_version_ 1782434185759162368
author Feng, Yongzeng
Hong, Jianjun
Guo, Xiaoshan
Lin, Chuangxin
Ling, Wei
Zhang, Lifeng
Wang, Gang
author_facet Feng, Yongzeng
Hong, Jianjun
Guo, Xiaoshan
Lin, Chuangxin
Ling, Wei
Zhang, Lifeng
Wang, Gang
author_sort Feng, Yongzeng
collection PubMed
description BACKGROUND: The aim of the study was to introduce a new percutaneous technique for the treatment of traumatic pubic symphysis diastasis using a TightRope and external fixator. A comparison between this technique and percutaneous fixation using a cannulated screw was performed. METHODS: From January 2009 to December 2013, 26 patients with type II traumatic pubic symphysis diastasis were treated at two level 1 regional trauma centers. Among them, 10 patients were treated with a percutaneous TightRope and external fixator and 16 patients were treated with percutaneous cannulated screw fixation. Functional outcomes were evaluated using the Majeed scoring system. Patient satisfaction was evaluated using the modified visual analog scale. Radiological results were assessed based on the width of pubic symphysis preoperatively, immediately postoperatively, and at the final follow-up. Postoperative complications were also recorded. RESULTS: There were no significant differences between the groups in Majeed scores and patient satisfaction (p > 0.05). There were no significant differences in the width of pubic symphysis preoperatively, immediately postoperatively, and at the final follow-up (p > 0.05). No significant differences were found regarding infection, fixation failure, or the need for revision surgery (p > 0.05). CONCLUSIONS: The new percutaneous technique using a TightRope and external fixator is a successful alternative for the treatment of type II traumatic pubic symphysis diastasis, which results in similar outcomes comparing to percutaneous cannulated screw fixation.
format Online
Article
Text
id pubmed-4882846
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-48828462016-05-28 Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw Feng, Yongzeng Hong, Jianjun Guo, Xiaoshan Lin, Chuangxin Ling, Wei Zhang, Lifeng Wang, Gang J Orthop Surg Res Research Article BACKGROUND: The aim of the study was to introduce a new percutaneous technique for the treatment of traumatic pubic symphysis diastasis using a TightRope and external fixator. A comparison between this technique and percutaneous fixation using a cannulated screw was performed. METHODS: From January 2009 to December 2013, 26 patients with type II traumatic pubic symphysis diastasis were treated at two level 1 regional trauma centers. Among them, 10 patients were treated with a percutaneous TightRope and external fixator and 16 patients were treated with percutaneous cannulated screw fixation. Functional outcomes were evaluated using the Majeed scoring system. Patient satisfaction was evaluated using the modified visual analog scale. Radiological results were assessed based on the width of pubic symphysis preoperatively, immediately postoperatively, and at the final follow-up. Postoperative complications were also recorded. RESULTS: There were no significant differences between the groups in Majeed scores and patient satisfaction (p > 0.05). There were no significant differences in the width of pubic symphysis preoperatively, immediately postoperatively, and at the final follow-up (p > 0.05). No significant differences were found regarding infection, fixation failure, or the need for revision surgery (p > 0.05). CONCLUSIONS: The new percutaneous technique using a TightRope and external fixator is a successful alternative for the treatment of type II traumatic pubic symphysis diastasis, which results in similar outcomes comparing to percutaneous cannulated screw fixation. BioMed Central 2016-05-27 /pmc/articles/PMC4882846/ /pubmed/27233837 http://dx.doi.org/10.1186/s13018-016-0397-7 Text en © Feng et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Feng, Yongzeng
Hong, Jianjun
Guo, Xiaoshan
Lin, Chuangxin
Ling, Wei
Zhang, Lifeng
Wang, Gang
Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title_full Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title_fullStr Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title_full_unstemmed Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title_short Percutaneous fixation of traumatic pubic symphysis diastasis using a TightRope and external fixator versus using a cannulated screw
title_sort percutaneous fixation of traumatic pubic symphysis diastasis using a tightrope and external fixator versus using a cannulated screw
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882846/
https://www.ncbi.nlm.nih.gov/pubmed/27233837
http://dx.doi.org/10.1186/s13018-016-0397-7
work_keys_str_mv AT fengyongzeng percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT hongjianjun percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT guoxiaoshan percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT linchuangxin percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT lingwei percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT zhanglifeng percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew
AT wanggang percutaneousfixationoftraumaticpubicsymphysisdiastasisusingatightropeandexternalfixatorversususingacannulatedscrew