Clinical Analysis Of Four Kinds Of Internal Fixation For Sacroiliac Joint Injury

Objective:Clinical analysis of four internal fixations for sacroiliac joint injury.Methods:This study analyzed 17 patients admitted to the department of orthopedics of our hospital from September 2016 to December 2018.There were 10 males and 7 females.Age:22-60 years old,average 39.3 years old,injury status:8 cases of traffic accident injury,5 cases of falling injury,4 cases of heavy weight injury.According to the surgical internal fixation program,the patients were divided into the anterior sacroiliac joint plate treatment group(6 cases in group A),the sacroiliac screw treatment group(4 cases in group B),the iliac internal fixation group(4 cases in group C),and the lumbar iliac internal fixation group(3 cases in group D).There were 9 cases on the left and 8 cases on the right.Intraoperative blood loss,operative time,NRS pain score and hip joint Harris score were analyzed to evaluate the efficacy of the four kind of fixation methods.Results:The four groups of patients successfully completed the operation and follow-up.The operative time of group B and C was shorter than that of group A and group D,and the intraoperative blood loss was lower(P<0.05).The postoperative NRS scores of all four groups were lower than those before the operation.In the early postoperative period(1 month and 3 months),the Harris scores of hip joint in group B and C were higher than those in group A and D,and the difference were statistically significant(P<0.05).There was no significant difference in hip function scores between the groups at the late postoperative period(6 months and 12 months).Conclusion:The four surgical methods have definite long-term effects on the recovery of hip joint function,but the sacroiliac screw and iliac fixation are more dominant in the control of operation time and blood loss.Develop personalized surgical treatment for sacroiliac joint injuries to help patients relieve pain,restore joint function,and improve quality of life.