Biomechanical Study of Tile C3 Pelvic Fracture Fixation Using an Anterior Internal System Combined With Sacroiliac Screws
Abstract BackgroundThis study aimed to investigate the effectiveness of different methods of fixation of Tile C3 pelvic fractures. We applied minimally-invasive treatment using an anterior internal fixator combined with sacroiliac screws. ObjectivesTo compare the biomechanical properties of different fixation models in pelvic facture specimens, using an internal fixation system or a steel plate combined with sacroiliac screws. MethodsSixteen fresh adult cadaver pelvic specimens were randomly separated into four groups named A, B, C and D. The four groups were respectively stabilized using a two-screwed, three-screwed, or four-screwed anterior internal fixator or a steel plate with sacroiliac screws. All models were tested in both standing and sitting positions. Vertical loads of 600 N were applied increasingly. Shifts of bilateral sacroiliac joints and pubis rupture were measured. ResultsThe shifts in sacroiliac joints and pubis rupture in the standing position were all less than 3.5 mm and the shifts in the sitting position were all less than 1 mm. In the standing position, the results of shifts in the sacroiliac joints were: Group C < Group D < Group B < Group A. For comparisons between A:B and C:D, P > 0.05. For comparisons between A, B:C, D, P < 0.05. The results of shifts in pubis ruptures were: Group D < Group C < Group B < Group A. In the comparison between C:D, P > 0.05, for comparisons between A:B, A:C, A:D, B:C, and B:D, P < 0.05. In the sitting posture, the results of shifts in the sacroiliac joints were: Group C < Group D < Group B < Group A, the shifts in the pubis ruptures were: Group D < Group C < Group B < Group A. For comparison between C:D, P > 0.05. For comparisons between A:B, A:C, A:D, B:C, and B:D, P < 0.05. ConclusionUse of an anterior internal fixator combined with sacroiliac screws effectively stabilized Tile C3 pelvic fractures. Among the options tested, a two-screwed internal fixator combined with sacroiliac screws was easier to operate. The stability of specimens increased as the number of screws in the internal fixator increased.