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Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture

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 p...

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Autores principales: Yin, Yingchao, Luo, Junhao, Zhang, Ruipeng, Li, Shilun, Jiao, Zhenqing, Zhang, Yingze, Hou, Zhiyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385294/
https://www.ncbi.nlm.nih.gov/pubmed/30796253
http://dx.doi.org/10.1038/s41598-019-39068-7
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author Yin, Yingchao
Luo, Junhao
Zhang, Ruipeng
Li, Shilun
Jiao, Zhenqing
Zhang, Yingze
Hou, Zhiyong
author_facet Yin, Yingchao
Luo, Junhao
Zhang, Ruipeng
Li, Shilun
Jiao, Zhenqing
Zhang, Yingze
Hou, Zhiyong
author_sort Yin, Yingchao
collection PubMed
description 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.
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spelling pubmed-63852942019-02-26 Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture Yin, Yingchao Luo, Junhao Zhang, Ruipeng Li, Shilun Jiao, Zhenqing Zhang, Yingze Hou, Zhiyong Sci Rep Article 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. Nature Publishing Group UK 2019-02-22 /pmc/articles/PMC6385294/ /pubmed/30796253 http://dx.doi.org/10.1038/s41598-019-39068-7 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Yin, Yingchao
Luo, Junhao
Zhang, Ruipeng
Li, Shilun
Jiao, Zhenqing
Zhang, Yingze
Hou, Zhiyong
Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title_full Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title_fullStr Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title_full_unstemmed Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title_short Anterior subcutaneous internal fixator (INFIX) versus plate fixation for pelvic anterior ring fracture
title_sort anterior subcutaneous internal fixator (infix) versus plate fixation for pelvic anterior ring fracture
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385294/
https://www.ncbi.nlm.nih.gov/pubmed/30796253
http://dx.doi.org/10.1038/s41598-019-39068-7
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