Cannulated iliac screw fixation combined with reconstruction plate fixation for Day type II crescent pelvic fractures

OBJECTIVE: This study was performed to evaluate the safety and efficacy of a single cannulated iliac screw combined with reconstruction plate fixation for crescent pelvic fractures (Day type II). METHOD: Thirty adult patients (23 men, 7 women) with a mean age of 42.3 years (range, 22–81 years) were retrospectively reviewed. The time interval between the injury and the operation ranged from 3 to 14 days. The duration of screw insertion, the frequency of C-arm X-ray examination, and the intraoperative blood loss volume were recorded. The minimum follow-up was 12 months (mean, 29 months; range, 12–36 months). Radiographic evaluation was performed using the Matta and Tornetta criteria. RESULTS: According to the Matta and Tornetta radiological criteria, the reduction was rated as excellent in 20 patients and good in 10 patients. Based on the Majeed functional evaluation at the follow-up appointment, the outcome was rated as excellent in 28 patients and good in 2 patients. CONCLUSION: This technique can restrict damage to the surrounding soft tissues, decrease complications, and promote good clinical results.