dc.contributor.author | Hoskins, W | |
dc.contributor.author | Bucknill, A | |
dc.contributor.author | Wong, J | |
dc.contributor.author | Britton, E | |
dc.contributor.author | Judson, R | |
dc.contributor.author | Gumm, K | |
dc.contributor.author | Santos, R | |
dc.contributor.author | Sheehy, R | |
dc.contributor.author | Griffin, X | |
dc.date.accessioned | 2021-05-27T08:36:06Z | |
dc.date.available | 2016-09-13 | |
dc.date.available | 2021-05-27T08:36:06Z | |
dc.date.issued | 2016-11-08 | |
dc.identifier.citation | Hoskins, W., Bucknill, A., Wong, J. et al. A prospective case series for a minimally invasive internal fixation device for anterior pelvic ring fractures. J Orthop Surg Res 11, 135 (2016). https://doi.org/10.1186/s13018-016-0468-9 | en_US |
dc.identifier.issn | 1749-799X | |
dc.identifier.other | ARTN 135 | |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/72099 | |
dc.description.abstract | Background: External fixation is commonly used as a means of definitive fixation of pelvic fractures. Pin site
infection is common, with some cases of osteomyelitis and inpatient nursing can be challenging. The aim of this
study is to report the outcomes and complications of an alternative minimally invasive technique, known as INFIX,
utilising spinal pedicle screws inserted into the supra-acetabular bone and connected by a subcutaneous rod.
Methods: A single-centre prospective case series was performed. The primary outcome measures were fracture
stability and displacement at time of implant removal and intra- and post-operative complications.
Results: Twenty-one patients were recruited, with 85.7 % of fractures being lateral compression type. Mean follow-up
was 342 days. Mean application time was 51 min (range 44–65). Nineteen were removed electively, with mean time to
removal 109 days. All cases were stable with no displacement. Two cases were removed emergently, one due to
wound infection and the other due to lateral femoral cutaneous nerve neuropathic pain. Twelve patients sustained a
lateral femoral cutaneous nerve palsy, with 20/42 nerves being affected. Improvement in all lateral femoral cutaneous
nerve symptoms were reported with removal. Nine patients developed asymptomatic heterotopic ossification, and
there were three deep infections and one symptomatic due to the bar.
Conclusions: Minimally invasive internal fixation with the INFIX for anterior pelvic ring fractures is an alternative to
anterior external fixation. However, a higher rate of lateral femoral cutaneous nerve palsy is noted, and the implant is
not well tolerated by all patients. Further studies are required to define fracture types and patients best suited to the
technique and how LFCN complications may be minimised.
Trial registration: ACTRN12616001421426. Registered 12 October 2016. Retrospectively registered. | en_US |
dc.publisher | BMC part of Springer Nature | en_US |
dc.relation.ispartof | JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | |
dc.rights | This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided 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 Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.subject | Pelvis | en_US |
dc.subject | Fractures | en_US |
dc.subject | Bones | en_US |
dc.subject | Fracture fixation | en_US |
dc.subject | Wounds and injuries | en_US |
dc.title | A prospective case series for a minimally invasive internal fixation device for anterior pelvic ring fractures | en_US |
dc.type | Article | en_US |
dc.rights.holder | © The Author(s). 2016 | |
dc.identifier.doi | 10.1186/s13018-016-0468-9 | |
pubs.author-url | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000391329300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=612ae0d773dcbdba3046f6df545e9f6a | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.publisher-url | http://doi.org/10.1186/s13018-016-0468-9 | |
pubs.volume | 11 | en_US |
dcterms.dateAccepted | 2016-09-13 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |