Comparison of three fixation methods in treating anterior pelvic ring fractures

  Objective  To observe the effects of internal fixation of modified Stoppa approach, external fixation and internal fixation of minimally invasive transperiosteal plate in treatment of anterior pelvic ring fractures.

  Methods  Clinical data of 98 patients with anterior pelvic ring fracture was retrospectively analyzed, and they were divided into group A, group B, and group C according to different treatment methods. The group A(33 cases) received modified Stoppa approach internal fixation, group B(31 cases) received external fixation of modified Stoppa approach, group C(34 cases) received minimally invasive transperiosteal plate internal fixation. Related indicators of surgery, postoperative fracture reduction conditions, clinical efficacy, and incidence of complications in the three groups were compared.

  Results  The incision length, operation time, intraoperative blood loss and fracture healing time in the three groups showed statistically significant differences(P < 0.05). The fracture reduction and clinical total effective rate of groups A and C were better than those of group B (P < 0.05). However, there was no statistical significance in the fracture reduction and clinical total effective rate between groups A and C (P>0.05). There was no statistically significant difference in the incidence of postoperative complications among the three groups (P>0.05).

  Conclusion  Compared with external fixation, modified Stoppa approach internal fixation and minimally invasive transperiosteal plate internal fixation have shorter healing time, better fracture reduction and clinical efficacy, and fewer postoperative complications.