Unstable Pelvic Fractures
Conditions
Brief summary
Pelvic fractures are common presentations to major trauma centers and are associated with significant morbidity in polytrauma patients. Traditional open reduction and internal fixation is associated with a high incidence of surgical morbidity, while external fixators, used for both temporary stabilisation and as definitive management, have a complication rate of up to 62% \[4\], with poor patient tolerance, pin site infection and aseptic loosening the more commonly documented complications in the literature. Minimally invasive techniques have become more popular recently in the management of pelvic injuries due to their lower incidence of surgical morbidity. The application of a pelvic internal fixator (INFIX) has been presented as a comparable alternative to external fixation of anterior pelvic ring injuries.
Interventions
An INFIX involves the insertion of spinal pedicle screws in the anterior pelvis (supra-acetabular entry) and the placement of a connecting rod in the subcutaneous tissue of the patient
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who had APC-II * Patients who had APC-III * Patients who had LC - II * Patients who had LC -III
Exclusion criteria
* Patients who had immature skeletons or medical contraindications such as combined neurovascular injuries and uncontrolled medical diseases. * Open fractures. * Stable pelvic ring fractures. * Patients who had combined acetabular fractures * Patients who had a hernia or previous lower abdominal surgery. * Pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| advantages using INFIX | 6 months | good patient tolerance |
| union | 1 yea | radiological |
Countries
Egypt