Evidence map›Paper›PMID 38389215›Full record

ArticleOrthopaedic surgery2024

A Countertraction Closed Reduction Technique in Minimally Invasive Fixation of Recent Type C Pelvic Ring Injuries.

Wei Liu, Jinmin Zhao, Jianwen Cheng, Linke Huang, Chao Ning, Feng Hu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

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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

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Wei LiuDepartment of Orthopedic Trauma & Hand and Foot Surgery, the Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Jinmin ZhaoDepartment of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Jianwen ChengDepartment of Orthopedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Linke HuangDepartment of Bone and Joint Surgery & Sports Medicine, the Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Chao NingDepartment of Bone and Joint Surgery & Sports Medicine, the Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Feng HuDepartment of Orthopedic Trauma & Hand and Foot Surgery, the Second Affiliated Hospital of Guangxi Medical University, Nanning, China.ORCID https://orcid.org/0009-0007-2419-585X
Guangxi Medical University · CN

Funding

Guangxi Medical and Health Appropriate Technology development and application project S2022094Guangxi Natural Science Foundation of China 2023GXNSFAA026320Health Commission of Guangxi Autonomous Region self-funded research project Z-A20230609The R&D project of Guangxi Zhuang Autonomous Region Key Trauma Surgery GXKTS202203305
6 · The paper itself

Abstract

objectiveClosed reduction of pelvic injuries is a prerequisite and critical step in minimally invasive treatment. Achieving non-invasive closed reduction of pelvic injuries is a challenging clinical problem. This study demonstrated a non-invasive traction technique for closed reduction called countertraction closed reduction technique (CCRT) and evaluated its effectiveness for type C pelvic ring injuries.

methodThe data of patients with unstable pelvic fractures treated with CCRT and minimally invasive fixation were retrospectively reviewed from January 2017 to February 2022. Sacroiliac screws were placed to fix the posterior pelvic ring, and internal or external fixation was used to fix the anterior pelvic ring. Operation time, intraoperative blood loss, duration of hospital stay, fracture union and postoperative complications were recorded. Fracture reduction quality was evaluated using the Matta scoring criteria. Functional recovery and general quality of life were evaluated using the Majeed functional scoring criteria.

resultsThirteen patients (nine males and four females), with an average age of 49.6 years were treated with CCRT and followed up for a mean of 18.5 months. The average operation time was 137.2 minutes (range 92-195 minutes), the average intraoperative blood loss was 31.2 mL (range 10-120 mL) and the average duration of hospital stay was 14.3 days (range 4-32 days). All patients achieved bony union with an average union time of 11.9 weeks (range 10-16 weeks). According to the Matta radiographic criteria, the quality of fracture reduction was excellent in eight patients, good in four, and fair in one. The average Majeed functional score was 89.7 (range 78-100). The functional evaluation revealed that the outcomes were excellent in nine patients, and good in four patients. Complications included incision fat liquefaction in one patient, and heterotopic ossification in another patient. There were no surgical complications as a result of CCRT.

conclusionCCRT is a non-invasive closed reduction method for minimally invasive fixation of fresh Tile C1 and C2 pelvic fractures. The advantages of CCRT combined with minimally invasive treatment include a small surgical incision, reduced intraoperative bleeding, satisfactory fracture reduction, bone healing and functional recovery.

Indexed as

Fractures, BonePelvic BonesBlood Loss, SurgicalFemaleFracture Fixation, InternalHumansMaleMiddle AgedQuality of LifeRetrospective StudiesTreatment OutcomeClosed reductionFixationUnstable pelvic fractures

Identifiers

PMID38389215
PMCPMC10984815
OpenAlexW4392109512

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