{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:30:20Z","timestamp":1756463420623,"version":"3.40.5"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2504303"],"award-info":[{"award-number":["2022YFC2504303"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82072411"],"award-info":[{"award-number":["82072411"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Anterior dislocation of the sacroiliac joint (ADSIJ) is caused by strong violence, and because of its low morbidity, there are no standardized diagnostic and therapeutical guidelines at this moment. This study aims to explore the surgical techniques and preliminary outcomes of the lateral\u2010rectus approach (LRA) for treating ADSIJ.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted of 15 patients with ADSIJ from January 2016 to January 2021. The patients' age ranged from 1.8\u2009years old to 57\u2009years old (37\u2009\u00b1\u200918\u2009years old). All patients underwent open reduction and internal fixation (ORIF) through the LRA. Eight patients were combined with lumbosacral plexus injury and underwent neurolysis during operation. Patients' fracture type, mechanism of injury, associated injuries, operation time and intraoperative bleeding volume were accessed by reviewing medical history. Quality of fracture reduction was evaluated with the Matta score. At 1\u2010year follow\u2010up, the functional rehabilitation was evaluated by the Majeed rehabilitation criteria. For those with lumbosacral plexus injury, the neuromotor function was evaluated using muscle strength grading proposed by the British Medical Research Council (BMRC) and recovery was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 15 patients underwent the operation successfully. The surgical time ranged from 70 to 220\u2009min (126\u2009\u00b1\u200942\u2009min), and the intraoperative blood loss ranged from 180 to 2000\u2009mL (816\u2009\u00b1\u2009560\u2009mL). Eighty percent of the cohort (12\/15) were rated as excellent and good in the Matta score for fracture reduction quality after operation without surgical incision\u2010related complications. At 1\u2010year follow\u2010up, the overall excellent and good rate was 73.3% (11\/15) according to the Majeed criteria, the neuromotor function recovered completely in six cases and partially in two cases according to the BMRC muscle strength grading, and the recovery of sensory function was evaluated as excellent in six cases, good in one case and poor in one case, with an overall excellent and good rate of 87.5%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The LRA can well expose the surrounding structures of the sacroiliac joint from the front, which helps surgeons reduce and fix the anterior dislocation of the sacroiliac joint under direct vision and effectively decompress the entrapment of the lumbosacral plexus to achieve better clinical efficacy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13794","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T04:41:58Z","timestamp":1689050518000},"page":"2300-2308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of Anterior Dislocation of the Sacroiliac Joint <scp><i>via<\/i><\/scp> the Lateral\u2010rectus Approach: Surgical Techniques and Preliminary Outcomes"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1993-6074","authenticated-orcid":false,"given":"Shicai","family":"Fan","sequence":"first","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery Third Affiliated Hospital of Southern Medical University  Guangzhou China"},{"name":"Trauma Emergency Center Third Hospital of Hebei Medical University  Shijiazhuang 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