ArticleBioMed research international2019
Minimally Invasive Screw Fixation of Unstable Pelvic Fractures Using the "Blunt End" Kirschner Wire Technique Assisted by 3D Printed External Template.
Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- Minimally invasive percutaneous cannulated screw fixation for pelvic fractures: a retrospective case cohort study of clinical and radiological outcomes.Frontiers in medicine · 2026Article
- Article
- Freehand Placement of a Transiliac-Transsacral Screw for Fixation of Posterior Pelvic Ring Injuries.Orthopaedic surgery · 2025Article
- Clinical efficacy analysis of anterior superior iliac spine 3D-printed guide plate-assisted sacroiliac screw placement for the treatment of pelvic fractures.Frontiers in surgery · 2025Article
- Comparison of Computer-Assisted Navigation and 3D Printed Patient-Specific Template for the Iliosacral Screw Placement.Orthopaedic surgery · 2023Article
- Crescent Fracture of the Pelvis: A Case Report.Cureus · 2022Article
- Sacral osteotomy combined with triangular osteosynthesis in the treatment of malunion and nonunion of vertically displaced pelvic fractures.Journal of orthopaedic surgery and research · 2022Article
- Preclinical evaluation of a prototype freehand drill video guidance system for orthopedic surgery.Journal of medical imaging (Bellingham, Wash.) · 2022Article
- Clinical applications and prospects of 3D printing guide templates in orthopaedics.Journal of orthopaedic translation · 2022Review
- Does 3D-Assisted Operative Treatment of Pelvic Ring Injuries Improve Patient Outcome?-A Systematic Review of the Literature.Journal of personalized medicine · 2021Review
- An overview of the key principles and guidelines in the management of pelvic fractures.Journal of perioperative practice · 2021Article
- Development of a fluoroscopically guided robotic assistant for instrument placement in pelvic trauma surgery.Journal of medical imaging (Bellingham, Wash.) · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to determine the accuracy and safety of the "blunt end" Kirschner wire (KW) technique for the minimally invasive treatment of unstable pelvic fractures with the assistance of a 3D printed external template.
methodsClinical data of 28 patients with unstable pelvic fractures between January 2016 and January 2018 were retrospectively analyzed. There were 6 cases of B1, 10 of B2, 8 of C1, and 4 of C2 fractures, all of which received surgical treatment. The "blunt end" KW technique with a 3D template was adopted for the minimally invasive placement of the iliosacral (IS) or superior ramus screws. The number of intraoperative fluoroscopies, surgical time, and complications were recorded. Postoperative reduction was assessed using the Matta criteria, and the Majeed score system was used to evaluate postoperative functional recovery.
resultsThe average number of fluoroscopies was 35 per patient, and the average surgical time was 85.2 min. A total of 19 S1 and 28 S2 IS screws were inserted. Eleven antegrade superior ramus screws and 4 retrograde screws were placed in 11 patients, and anterior subcutaneous internal fixation (INFIX) was used to fix the anterior pelvic ring in 17 patients. All patients were followed up for an average of 18 months. Postoperative reduction was evaluated by Matta's criteria: excellent in 16 cases, good in 9 cases, and fair in 3 cases. The Majeed score was used in the last follow-up to evaluate functional recovery: excellent in 13 cases, good in 10 cases, fair in 4 cases, and poor in 1 case. There were no cases of operative vascular injury.
conclusionThe "blunt end" KW technique with a 3D printed external template is a safe and effective method for the placement of IS and superior ramus screws in unstable pelvic fractures with minimized surgical duration and radiation exposure.
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