The use of anterior subcutaneous internal fixation (INFIX) for treatment of pelvic ring injuries: clinical outcomes.

Bahe-Elden Elahfie, Mohamed Mohamed; Omran, Khaled; Abdelhalim, Ahmad Hisham; Khames, Mohamed Sayed

doi:10.21608/mjmr.2024.268635.1663

The use of anterior subcutaneous internal fixation (INFIX) for treatment of pelvic ring injuries: clinical outcomes.

Document Type : Original Article

Authors

¹ Orthopedic and traumatologu department ,faculty of Medicine ,Minia University

² Department of orthopedic surgery

³ ortohopedic department , fuclty of medecin , minia univercity ,

⁴ Department of Orthopedic and Traumatology ,Faculty of Medicine ,Minia University

10.21608/mjmr.2024.268635.1663

Abstract

Background: Pelvic injuries constitute 2% of all orthopaedic hospitalisations and are linked to elevated death rates. They need a reliable stabilisation rather than an anatomical stabilisation. Therefore, the function of internal fixation (INFIX) becomes relevant, as it offers a secure internal fixation method without the complexities that occurs with reduction and external fixation.

patients and methods: The trial will include 40 patients who have injuries in the pelvic ring, classified by Young and Burgess classification and AO/OTA classification . These patients will be treated using the anterior subcutaneous pelvic INFIX technique for the anterior ring and two screws for the posterior ring. The patients were monitored for a duration of six months and assessed based on the Majeed score.

Results: Patients who had INFIX surgery for pelvic ring injuries saw a significant improvement in functional outcomes, including the ability to sit, stand, return to work, engage in sexual intercourse, and tolerate discomfort. The majority of patients exhibited an average Majeed score of 78, indicating a stable bone union within six months and a complete range of motion. Furthermore, these patients did not have any difficulties in their daily professional activities.

Conclusion: INFIX offers a reliable method of internally stabilising pelvic fractures, resulting in favourable functional outcomes, while avoiding the drawbacks associated with external fixation or open reduction with plates.

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