Evidence map›Paper›PMID 41803741›Full record

ArticleBMC geriatrics2026

Acceptable outcomes after anterior subcutaneous pelvic Internal Fixation (INFIX) for Fragility Fractures of the Pelvis (FFP) type III in elderly patients: a retrospective study.

Shaozheng Yang, Qiwang Yang, Li Yang, Yihui He, Weicheng Li, Yongqiang Liu, Hua Zhong, Hongfen Chen

Abstract read
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Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shaozheng Yang *Department of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China.
Qiwang Yang *Department of Rehabilitation, The Fifh Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Li Yang *Department of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China.
Yihui He *Department of Health Management, The Fifth Affliated Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Weicheng LiDepartment of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China.
Yongqiang LiuDepartment of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China.
Hua Zhong *Department of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China. zhong8099@163.com.
Hongfen Chen *Department of Orthopaedics, The Fifth Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, 510900, China. aricalchf@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeFor elderly with fragility fractures of the pelvis (FFP) type III, minimally invasive surgery may reduce perioperative morbidity and facilitate mobilization, but evidence guiding implant selection remains limited. We evaluated postoperative hip function, recovery of independence in activities of daily living, and safety of the anterior subcutaneous pelvic internal fixator (INFIX) in elderly patients with FFP type III fractures, including surgery-related complications and fixation failure.

methodsWe retrospectively reviewed all elderly patients (≥ 65 years) with FFP type III fractures treated with INFIX between 2020 and 2023. Data collected included demographics, comorbidities, general and surgery-related complications, length of hospital stay, visual analogue scale (VAS), Majeed score, Barthel Index, and mortality. Minimum follow-up was 12 months.

resultsForty-seven patients were included, with a mean follow-up of 28.2 ± 13.1 months. The mean Majeed score was 82.9 ± 10.1. 91.5% (n = 43) achieved a cumulative walking distance > 1,000 m at follow-up. The mean Barthel Index was 84.3 ± 8.9. Surgery-related complications included lateral femoral cutaneous nerve irritation/injury in 21.3% (n = 10), wound infection in 6.4% (n = 3), and heterotopic ossification in 10.6% (n = 5). Screw loosening occurred in 12.8% (n = 6) but did not require reoperation.

conclusionINFIX for elderly patients with FFP type III fractures was associated with acceptable functional outcomes despite a relatively high rate of surgery-related complications, and most patients regained independence in activities of daily living during follow-up. Therefore, for Type III FFP, the INFIX technique maybe a viable option.

Indexed as

Fracture Fixation, InternalFractures, BoneOsteoporotic FracturesPelvic BonesActivities of Daily LivingAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMinimally Invasive Surgical ProceduresPostoperative ComplicationsRetrospective StudiesTreatment OutcomeElderlyINFIXMinimally invasive surgeryPelvic fracture

Identifiers

PMID41803741
PMCPMC13085666

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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.