Minimally invasive internal fixation for unstable pelvic ring fractures: a retrospective study of 27 cases

Wu, Shuang; Yang, Yu‐Shang; Chen, Wei; Luo, Rong; Fang, Yue

doi:10.1186/s13018-021-02387-5

Cited by 4 publications

(2 citation statements)

References 44 publications

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“…INFIX technology has the advantages of shorter procedure time, limited soft tissue trauma and reduced blood loss. When establishing subcutaneous channels, the incidence of soft tissue traction injury and thrombosis can be signi cantly reduced, avoiding disruption of blood supply to the fracture site during operation, which is conducive to enhance postoperative healing [23] ; There is no need for accurate reduction before operation, and the treatment options for patients with large displacement, and comminuted fractures are more exible and diverse.…”

Section: Discussionmentioning

confidence: 99%

Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: A retrospective study

Huang,

He,

Kenmegne

et al. 2024

Preprint

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Objectives The purpose of this study was to compare the reduction effect and clinical outcomes of anterior subcutaneous internal fixation (INFIX) and steel plate-screw internal fixation in the treatment of anterior ring injury in Tile C pelvic fractures. Methods In this retrospective study, we Compared 46 patients treated using INFIX to 44 patients treated with steel plate and screw internal fixation. All patients underwent anterior and posterior fixation. The Matta imaging scoring system was used to evaluate the postoperative reduction accuracy; the Majeed scoring system was applied to obtain functional outcomes in clinical follow-up. All potential complications were identified and evaluated accordingly. Results. Both groups of patients were followed up for a period of 13–36 months, with an average of 27 months. The procedure time and blood loss in the INFIX group were significantly lower than those in the plate group(t = − 2.327, P = 0.023;t = − 4.053, P = 0.000; there was no statistically significant difference in the Majeed score and Matta score between the two groups after surgery (P > 0.05) Conclusions INFIX treatment for anterior ring injury in Tile C pelvic fractures can achieve good therapeutic effects. Compared to internal fixation with plates and screws, it has advantages such as shorter surgical time and less blood loss. INFIX may be more suitable for obese patients, young women of childbearing age, or patients with urinary system injuries.

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Section: Discussionmentioning

confidence: 99%

Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: A retrospective study

Huang,

He,

Kenmegne

et al. 2024

Preprint

Self Cite

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“…In the course of disease treatment, we found that patients with posterior pelvic ring injury treated with PMISS often developed anemia. It would affect postoperative functional recovery and increase mortality [ 11 ]. Although anemia was closely related to surgical trauma and visible bleeding [ 12 ], it was also crucial to pay attention to hidden blood loss (HBL).…”

Section: Introductionmentioning

confidence: 99%

Hidden blood loss and the influential factors after minimally invasive treatment of posterior pelvic ring injury with sacroiliac screw

Xu,

Liu,

Lou

et al. 2024

Trials

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Background To analyze the perioperative bleeding and hidden blood loss (HBL) of sacroiliac screw minimally invasive treatment of pelvic posterior ring injury and explore the influential factors of HBL after operation for providing reference for clinical treatment. Method A retrospective analysis was conducted on data from 369 patients with posterior pelvic ring injuries treated with sacroiliac screws internal fixation at our hospital from January 2015 to January 2022. The research was registered in the Chinese Clinical Trial Registry in July 2022 (ChiCTR2200061866). The total blood loss (TBL) and HBL of patients were counted, and the factors such as gender, age, and surgical duration were statistically analyzed. The influential factors of HBL were analyzed by multiple linear regression. Results The TBL was 417.96 ± 98.05 ml, of which the visible blood loss (VBL) was 37.00 ± 9.0 ml and the HBL was 380.96 ± 68.8 ml. The HBL accounted for 91.14 ± 7.36% of the TBL. Gender, surgical duration, fixed position, and fixed depth had significant effects on the HBL (P < 0.05). Conclusions The HBL was the main cause of anemia after minimally invasive treatment of posterior pelvic ring injury with a sacroiliac screw. Gender, surgical duration, fixed position, and fixed depth were closely related to the occurrence of HBL. In clinical treatment, we should consider these influential factors and take effective measures to reduce the impact of HBL on patients.

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Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies

Salášek

Český

Whitley

et al. 2023

International Orthopaedics (SICOT)

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Purpose Pelvic ring fractures requiring surgical stabilization are severe injuries. Surgical site infections occurring after stabilization of the pelvis are serious complications, requiring complex and multidisciplinary treatment. Methods This is a retrospective observational study from a level I trauma centre. One hundred and ninety-two patients who underwent stabilization of closed pelvic ring injuries without signs of pathological fracture were selected for inclusion into the study. After excluding seven patients for having incomplete data, the final study group consisted of 185 patients (117 men and 68 women). Basic epidemiologic data and potential risk factors were recorded and analyzed by Cox regression, Kaplan–Meier curves, and risk ratios in 2 × 2 tables. Categorical variables were compared by Fisher exact tests and chi squared tests. Parametric variables were analyzed with Kruskal–Wallis tests with post hoc Wilcoxon tests. Results Surgical site infections occurred in 13% of the study group (24 from 185). Eighteen infections occurred in men (15.4%) and six in women (8.8%). There were two significant risk factors in women: age over 50 years (p = 0.0232) and concomitant urogenital trauma (p = 0.0104). The common risk ratio for both these factors was 212.59 (8.78–5148.68), p = 0.0010. No significant risk factors were identified in men despite younger men having a higher incidence of infection (p = 0.1428). Conclusion Overall rate of infectious complications was higher than in the literature, but this might be caused by inclusion of all patients regardless of surgical strategy. Higher age in women and lower age in men were associated with higher infection rates. Concomitant urogenital trauma was a significant risk factor in women.

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Minimally invasive internal fixation for unstable pelvic ring fractures: a retrospective study of 27 cases

Cited by 4 publications

References 44 publications

Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: A retrospective study

Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: A retrospective study

Hidden blood loss and the influential factors after minimally invasive treatment of posterior pelvic ring injury with sacroiliac screw

Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies

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