Authors' objectives: To determine the effectiveness and safety of percutaneous techniques for the treatment of pelvic ring fractures and evaluate the specific benefits of percutaneous techniques compared with other treatment alternatives. A systematic review of the literature was made with a structured search in the Medline, EMBASE, SCOPUS and Web of Science databases and the clinical trials registry of the Cochrane Library [no time limit to December 2009]. Searches were also made in the International Network of Agencies for Health Technology Assessment (INAHTA), the International Information Network on New and Emerging Health Technologies (EuroScan) and the U.S. clinical trial registry ClinicalTrials.gov (http://clinicaltrial.gov/ ). Finally, a secondary inspection of the bibliographical references of the retrieved articles was made. The criteria for inclusion of articles was defined based on the characteristics of the population (general population), intervention (percutaneous techniques for the treatment of pelvic ring fractures) and outcomes (effectiveness and safety in terms of reduction of morbidity and intraoperative and postoperative adverse effects). A critical reading was made of the selected articles to identify methodological problems that could affect the internal and external validity of the studies, and to assess the quality of scientific evidence available. The synthesis of the results was qualitative. There were 403 references retrieved without duplicates, and the full texts of 33 were evaluated. The studies included were 18 original papers describing case series. Of these, 12 dealt with iliosacral screws, 3 with acetabular screws, 2 with screws on iliopubic branches and one with LC-II screws. No works were identified on magic screws which met the inclusion criteria of this systematic review.

Project Status: Completed

URL for project: https://www.aetsa.org/publicacion/efectividad-y-seguridad-del-tratamiento-percutaneo-de-las-fracturas-del-anillo-pelvico/

Year Published: 2011

URL for published report: https://www.aetsa.org/download/publicaciones/antiguas/AETSA_2009-5_Fracturas_pelvis.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Spain

Organisation Name: Andalusian Health Technology Assessment Area

Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309

Contact Name: aetsa.csalud@juntadeandalucia.es

Contact Email: aetsa.csalud@juntadeandalucia.es

Copyright: Andalusian Agency for Health Technology Assessment (AETSA)