Evaluation of The Use of a Cloverleaf Plate as a Sacroiliac Joint Plate for Treating Complex Sacroiliac Joint Injuries

Winson Low Min Teng¹, Yung Heng Hsu², Ying Chao Chou³ and Yi Hsun Yu⁴

Received: September 19, 2018;   Published: October 23, 2018

DOI: 10.26717/BJSTR.2018.10.001928

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Abstract

Background: Various fixation methods can be applied in sacroiliac injuries.

Objective: To propose an alternative fixation method for sacroiliac joint injuries with a pre-contoured cloverleaf plate.

Methods: We used a modified surgical technique with using a cloverleaf plate as a sacroiliac joint plate for treating a series of 7 patients with complex sacroiliac joint injuries in a single medical institute. The surgical technique was detailed described. Each patient was followed up with at the outpatient clinic after discharge at 2 weeks, 4 weeks, 12 weeks, and until bone union and pelvic ring stabilization.

Results: All patients were followed up with for at least 6 months. There were no perioperative complications, such as nerve or vascular injury, a broken plate, loose screw and plate, and loss of reduction, due to the osteosynthesis operations. During the follow-up period, all fixations were maintained until early bone union.

Conclusion: Fixation of a sacroiliac joint fracture with a cloverleaf plate is an alternative and new option that provides good fixation strength and economic efficiency.

Keywords: Sacroiliac Joint; Radiography; Surgical Technique; Cloverleaf Plate

Abstract| Introduction | Materials and Methods| Results | Discussion| Conclusion| References|