Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Closed Reduction and Internal Fixation of Day II and III Crescent Fractures by Iliosacral Screw
Abstract
Background: Crescent fracture is defined disruption of part of the sacroiliac joint completed as a fracture iliac
wing posteriorly. It can be fixed by a variety of methods. Closed reduction and iliosacral screw fixation can provide
adequate stabilization in certain cases of crescent fractures.
Patients And Methods: The clinical study was aim at evaluating the clinical outcomes and functional scores of 30
patients (22 male and 8 female patients) aging from 28 to 54 years old. This study included 30 patients with LC
fractures of pelvis and had been operated between April 2000 and June 2010. Plain X ray and CT of the pelvis were
done for all cases. Day’s classification and exclusion of dysmorphic sacra were done. Percutaneous IS was used in
all patients who were selected as Day type II and III. The average follow-up period was 14 months (range: 12–21
months). The principal goal of surgical intervention was the accurate and stable reduction of the sacroiliac joint.
Results: There was minimal blood loss in all cases. The clinical outcome was good in all patients; there were
no healing complications, postoperative neurological deficits, or residual rotational malalignment of the limb.
Using Majeed scoring system for functional assessment; Mean score of the 30 cases was 87 points (55–100 points);
20 (66.5%) patients had greater than 85 points (excellent), 9 (30%) patients had 65–84 points (good), and one
(5.5%) patients 52 and 64 points (poor).
Discussion and conclusion: Percutaneous IS screw fixation is a valuable option in treatment of types II and
III crescent fractures, with almost no blood loss and short intraoperative duration. The functional results of the
patients treated by IS was good in average.
Level of evidence: The level of evidence was IV (case series).
wing posteriorly. It can be fixed by a variety of methods. Closed reduction and iliosacral screw fixation can provide
adequate stabilization in certain cases of crescent fractures.
Patients And Methods: The clinical study was aim at evaluating the clinical outcomes and functional scores of 30
patients (22 male and 8 female patients) aging from 28 to 54 years old. This study included 30 patients with LC
fractures of pelvis and had been operated between April 2000 and June 2010. Plain X ray and CT of the pelvis were
done for all cases. Day’s classification and exclusion of dysmorphic sacra were done. Percutaneous IS was used in
all patients who were selected as Day type II and III. The average follow-up period was 14 months (range: 12–21
months). The principal goal of surgical intervention was the accurate and stable reduction of the sacroiliac joint.
Results: There was minimal blood loss in all cases. The clinical outcome was good in all patients; there were
no healing complications, postoperative neurological deficits, or residual rotational malalignment of the limb.
Using Majeed scoring system for functional assessment; Mean score of the 30 cases was 87 points (55–100 points);
20 (66.5%) patients had greater than 85 points (excellent), 9 (30%) patients had 65–84 points (good), and one
(5.5%) patients 52 and 64 points (poor).
Discussion and conclusion: Percutaneous IS screw fixation is a valuable option in treatment of types II and
III crescent fractures, with almost no blood loss and short intraoperative duration. The functional results of the
patients treated by IS was good in average.
Level of evidence: The level of evidence was IV (case series).
