ArticleJournal of orthopaedic surgery and research2021
Minimally invasive internal fixation for unstable pelvic ring fractures: a retrospective study of 27 cases.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies.International orthopaedics · 2023Pooled it
- Minimally invasive stabilisation of anterior pelvic ring injuries through anterior infix versus percutaneous anterior retrograde pubic screw: a prospective comparative cohort study.Archives of orthopaedic and trauma surgery · 2026Trial
- Minimally invasive circumferential fixation using TIFI and INFIX for unstable pelvic ring injuries: a prospective evaluation of clinical and radiological outcomes.Archives of orthopaedic and trauma surgery · 2026Article
- Minimally invasive internal fixation versus symphyseal screws for unstable pelvic ring fractures.International orthopaedics · 2026Article
- Functional and radiological outcomes following sacroiliac screw fixation of posterior pelvic ring injuries: A retrospective study.Surgery in practice and science · 2025Article
- Anterior minimal invasive internal fixator versus open plating in treatment of unstable pelvic ring injuries.Archives of orthopaedic and trauma surgery · 2025Article
- Evolution of the reduction technique for unstable pelvic ring fractures: a narrative review.European journal of medical research · 2025Review
- Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: a retrospective study.BMC surgery · 2025Article
- StraightTrack: Towards mixed reality navigation system for percutaneous K-wire insertion.Healthcare technology letters · 2024Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the radiographic and clinical outcomes of anterior subcutaneous internal fixation (INFIX) with or without posterior fixation for the treatment of unstable pelvic fractures.
methodsIntraoperative blood loss, operation time, and duration of hospital stay were recorded, and fracture union and postoperative complications were evaluated. The fracture reduction quality was evaluated using the Matta score, pelvic deformity index (PDI), and pubic symphyseal width (PSW). In addition, the functional recovery and general quality of life were evaluated using the Majeed score and the 12-Item Short-Form Survey (SF-12), respectively. Furthermore, sacral nerve injury was evaluated using the Gibbons classification.
resultsTwenty-seven patients (14 males and 13 females) with an average age of 37.4 years were followed up for a mean of 22 months. The average operation time, median intraoperative blood loss, and average duration of hospital stay were 129 ± 47 min, 100 mL, and 22 ± 13 days, respectively. All patients achieved bony union with an average union time of 13.3 weeks. Furthermore, the average PDI and PSW were 0.07 ± 0.04 vs. 0.04 ± 0.03 (P = 0.009) and 1.15 ± 1.36 vs. 0.54 ± 0.17 (P = 0.048) before and after the operation, respectively. In 78% of the patients, the Matta or Majeed scores were excellent or good. The SF-12 physical and mental health scores were 45.1 ± 10.2 and 53.2 ± 6.3, respectively. Furthermore, one superficial surgical site infection, one loosening of INFIX, one lateral femoral cutaneous nerve irritation, one femoral nerve injury, and two implant discomforts due to the bar were noted. Among five patients with sacral nerve injuries, four were asymptomatic, and one just had paresthesia at the last follow-up.
conclusionINFIX with or without sacroiliac screws can achieve satisfactory radiographic and functional outcomes in the treatment of unstable pelvic ring fractures.
trial registrationChiCTR2000038812 . Registered 04 October 2020. Retrospectively registered.
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