Study supports efficacy of closed reduction, percutaneous fixation of crescent-fracture dislocations
Recently published data highlight the safety and efficacy of closed reduction and percutaneous screw fixation for the treatment of crescent fracture-dislocation of the sacroiliac joint and indicate satisfactory function and radiographic outcomes with the procedure.
Researchers conducted a retrospective review of 117 patients who underwent treatment for crescent fracture-dislocation of the sacroiliac joint. Of these patients, 73 were treated with closed reduction and percutaneous screw fixation and 44 patients were treated with open reduction and internal fixation (ORIF). Patients were followed for a minimum of 6 months with a mean follow-up of 14 months. During primary treatment, after fixation and at final follow-up, investigators obtained radiographs. Functional results were also evaluated.
Results showed no significant difference between the treatment groups regarding the quality of the reduction, and rates of both iatrogenic injury and revision surgery. However, investigators noted a significantly lower infection rate in the closed reduction and percutaneous fixation group compared with the ORIF group. According to researchers, the closed reduction group also had less blood loss, less extensive exposure, a shorter duration of posterior ring surgery and a shorter hospital stay. The closed reduction group had better functional outcomes compared with patients who underwent ORIF. ‒ by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.