Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
Autor: | Yingze Zhang, Zhenqing Jiao, Zhiyong Hou, Junhao Luo, Yingchao Yin, Shilun Li, Ruipeng Zhang |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty Radiography medicine.medical_treatment lcsh:Medicine Article Fracture Fixation Internal Fractures Bone 03 medical and health sciences 0302 clinical medicine Infix Pelvic ring Paralysis Humans Minimally Invasive Surgical Procedures Medicine Pelvic Bones lcsh:Science Reduction (orthopedic surgery) Retrospective Studies Plate fixation Multidisciplinary business.industry lcsh:R Retrospective cohort study Middle Aged Surgery 030104 developmental biology Injury Severity Score Female lcsh:Q medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Scientific Reports, Vol 9, Iss 1, Pp 1-8 (2019) Scientific Reports |
ISSN: | 2045-2322 |
Popis: | The aim of this study was to compare the clinical outcomes in patients with unstable anterior pelvic ring fractures after treatment with anterior subcutaneous internal fixator (INFIX) or plate fixation. We performed a retrospective study from August 2015 to October 2017. A consecutive series of 74 patients who underwent surgical treatment of their anterior pelvic ring (35 treated with INFIX and 39 treated with plates) were studied. Data collected included patients’ demographic data, injury severity score (ISS), AO/OTA classification, injury mechanism, time to surgery, procedure time, and blood loss. The quality of postoperative reduction were assessed by postoperative radiographs using the Tornetta and Matta method. Functional outcome was evaluated using Majeed scoring system. In the INFIX group, ten patients developed LFCN paralysis, one patient suffered from superficial infection. Three screw loosening cases and two wound infection cases occurred in the plate group. INFIX is relatively minimally invasive and time-saving than the reconstruction plate in the treatment of anterior pelvic ring fracture. However, plate fixation increases the rate of anatomic reduction of the pelvic anterior ring fracture. Plates also provide a higher functional outcome compared with INFIX. INFIX is especially suitable in patients with urological injury, which can also decrease the wound infection rate. |
Databáze: | OpenAIRE |
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