Evidence map›Paper›PMID 36975006›Full record

ArticleOrthopaedic surgery2023

Minimally Invasive 360° Fusion Using a Combination of INFIX and Minimally Invasive Spinopelvic Fixation by Intraoperative Computed Tomography Navigation for Unstable Pelvic Ring Fracture: A Technical Note.

Akihiko Hiyama, Taku Ukai, Shota Ogasawara, Tatsumi Tanaka, Masahiko Watanabe

Open access · goldAbstract read
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Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Akihiko HiyamaDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan.ORCID https://orcid.org/0000-0002-2474-9118
Taku UkaiDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan.ORCID https://orcid.org/0000-0001-9839-7330
Shota OgasawaraDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan.
Tatsumi TanakaDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan.
Masahiko WatanabeDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan.
Tokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFluoroscopy is often used in the surgery of unstable pelvic ring fractures, and improved safety in implant placement is an issue. An anterior subcutaneous pelvic fixator (INFIX) combined with a percutaneous screw has been reported to be a minimally invasive and effective surgical technique for unstable pelvic ring injuries. However, although percutaneous screw fixation is minimally invasive, its indications for fracture fixation and fractures with large fragment displacements in the vertical plane remain controversial. Therefore, this technical note aims to describe a new technique for unstable pelvic ring fractures.

methodsWe describe a 360° fusion of the pelvic ring to treat unstable pelvic ring fractures, including vertical shear pelvic ring fractures, using an intraoperative CT navigation system. Seven patients were treated with 360° fusion for type C pelvic ring fractures. In surgery, after reducing the fracture with external fixation, intraoperative CT navigation is used to perform a 360° fusion with INFIX and minimally invasive surgical spinopelvic fixation (MIS-SPF). We will introduce a typical case and explain the procedure.

resultsA 360° fixation was performed, and no perioperative complications were noted. The mean blood loss was 253.2 ± 141.0 mL, and the mean operative time was 224.3 ± 67.4 min. In a typical case, bone union was obtained 1 year after surgery, and we removed all implants.

conclusionsMIS-SPF has a strong fixation force and helps reduce fractures' horizontal and vertical planes. In addition, 360° fusion with intraoperative CT navigation may help treat unstable pelvic ring fractures.

Indexed as

Fractures, BonePelvic BonesFracture FixationFracture Fixation, InternalHumansMinimally Invasive Surgical ProceduresRetrospective StudiesTomography, X-Ray Computed360° fusionAnterior subcutaneous pelvic fixatorIntraoperative CT navigationMinimally invasive surgical spinopelvic fixationPelvic ring fracture

Identifiers

PMID36975006
PMCPMC10157707
OpenAlexW4361191247

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.