Treatment of unstable pelvic fractures with double INFIX

Abstract Background This study investigated the clinical efficacy of Double INFIX for the treatment of unstable pelvic fractures. Methods We performed a retrospective analysis of 23 patients with unstable pelvic fractures treated using the Double INFIX minimally invasive technique. The cohort includ...

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Main Authors: Xu-Song Li, Jun-Le Wu, Liben Huang, Lin Ye, Jie-Feng Huang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-024-08195-2
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author Xu-Song Li
Jun-Le Wu
Liben Huang
Lin Ye
Jie-Feng Huang
author_facet Xu-Song Li
Jun-Le Wu
Liben Huang
Lin Ye
Jie-Feng Huang
author_sort Xu-Song Li
collection DOAJ
description Abstract Background This study investigated the clinical efficacy of Double INFIX for the treatment of unstable pelvic fractures. Methods We performed a retrospective analysis of 23 patients with unstable pelvic fractures treated using the Double INFIX minimally invasive technique. The cohort included five cases of Tile B1 type, eight cases of B2 type, six cases of B3 type, three cases of C1 type and one case of type C2. Pre- and postoperative evaluations included standardised pelvic serial films and three-dimensional CT scans. Key observational indicators were fracture reduction quality (assessed using Matta’s criteria), fracture healing, functional recovery (evaluated with the Majeed function assessment criteria), and incidence of complications. Results The mean follow-up duration was 24.48 ± 1.78 months. The average fracture healing time was 4.00 ± 1.41 months, and the average time for removal of fixation was 7.43 ± 1.75 months. Repeat imaging at 12 months postoperatively using Matta’s criteria showed eight cases with excellent results (52.17%), 13 cases with good results (34.78%), three cases with fair results (13.04%), and no cases with poor results. The combined excellent and good rate was 86.96%, whereas the fair rate was 13.04%. The average Majeed hip joint function score at the final follow-up was 95.04 ± 1.72. Postoperative complications included meralgia paresthetica in two cases (8.7%) and sacrococcygeal discomfort in three patients when lying flat. Conclusion Double INFIX is a minimally invasive treatment technique with adequate clinical efficacy for managing unstable pelvic fractures.
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spelling doaj-art-753442fe3b9b4ec3a852e49e176386f92025-01-12T12:04:51ZengBMCBMC Musculoskeletal Disorders1471-24742025-01-0126111210.1186/s12891-024-08195-2Treatment of unstable pelvic fractures with double INFIXXu-Song Li0Jun-Le Wu1Liben Huang2Lin Ye3Jie-Feng Huang4Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineDepartment of Orthopaedics & Traumatology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese MedicineGuangzhou Hospital of Integrated Tradictional and West MedicineHeyuan Woman and Children’s Hospital and Health InstituteDepartment of Orthopaedics & Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical UniversityAbstract Background This study investigated the clinical efficacy of Double INFIX for the treatment of unstable pelvic fractures. Methods We performed a retrospective analysis of 23 patients with unstable pelvic fractures treated using the Double INFIX minimally invasive technique. The cohort included five cases of Tile B1 type, eight cases of B2 type, six cases of B3 type, three cases of C1 type and one case of type C2. Pre- and postoperative evaluations included standardised pelvic serial films and three-dimensional CT scans. Key observational indicators were fracture reduction quality (assessed using Matta’s criteria), fracture healing, functional recovery (evaluated with the Majeed function assessment criteria), and incidence of complications. Results The mean follow-up duration was 24.48 ± 1.78 months. The average fracture healing time was 4.00 ± 1.41 months, and the average time for removal of fixation was 7.43 ± 1.75 months. Repeat imaging at 12 months postoperatively using Matta’s criteria showed eight cases with excellent results (52.17%), 13 cases with good results (34.78%), three cases with fair results (13.04%), and no cases with poor results. The combined excellent and good rate was 86.96%, whereas the fair rate was 13.04%. The average Majeed hip joint function score at the final follow-up was 95.04 ± 1.72. Postoperative complications included meralgia paresthetica in two cases (8.7%) and sacrococcygeal discomfort in three patients when lying flat. Conclusion Double INFIX is a minimally invasive treatment technique with adequate clinical efficacy for managing unstable pelvic fractures.https://doi.org/10.1186/s12891-024-08195-2Internal fixator (INFIX)Minimally invasive techniquePelvic fractureAnterior and posterior ring fixation
spellingShingle Xu-Song Li
Jun-Le Wu
Liben Huang
Lin Ye
Jie-Feng Huang
Treatment of unstable pelvic fractures with double INFIX
BMC Musculoskeletal Disorders
Internal fixator (INFIX)
Minimally invasive technique
Pelvic fracture
Anterior and posterior ring fixation
title Treatment of unstable pelvic fractures with double INFIX
title_full Treatment of unstable pelvic fractures with double INFIX
title_fullStr Treatment of unstable pelvic fractures with double INFIX
title_full_unstemmed Treatment of unstable pelvic fractures with double INFIX
title_short Treatment of unstable pelvic fractures with double INFIX
title_sort treatment of unstable pelvic fractures with double infix
topic Internal fixator (INFIX)
Minimally invasive technique
Pelvic fracture
Anterior and posterior ring fixation
url https://doi.org/10.1186/s12891-024-08195-2
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AT junlewu treatmentofunstablepelvicfractureswithdoubleinfix
AT libenhuang treatmentofunstablepelvicfractureswithdoubleinfix
AT linye treatmentofunstablepelvicfractureswithdoubleinfix
AT jiefenghuang treatmentofunstablepelvicfractureswithdoubleinfix