Objective To investigate the efficacy of percutaneous anterior pelvic ring internal fixation(INFIX)com-bined with posterior plating on the pelvic fractures.Methods INFIX combined with posterior plate were used to treat 15 cases of unstable pelvic fractures with anterior and posterior pelvic ring injuries.The operation conditions,fracture reduction and healing,and the occurrence of postoperative complications were recorded.Patients′hip function recovery was evaluated with the Majeed criteria.Results All patients were followed up from 9 months to 14 months.The total incision length was 10～14 cm,the operation time was 80～100 min,and the intraoperative bleeding volume was 60～100 ml.Postoperative fracture reduction was evaluated according to Matta et al criteria:8 cases were excellent and 7 cases good.Three patients developed lateral cutaneous nerve symptoms and one case had incision infection.The partial weight-bearing time was started from 3 weeks to 12 weeks.The callus began to form at 4～8 weeks after surgery,and the fractures healed within 10～20 weeks.At the last follow-up,14 patients could completely walk,and 1 patient nee-ded to walk with the crutch;the hip function recovery evaluated with the Majeed criteria:14 cases were excellent,and 1 case good.Conclusions INFIX combined with posterior plate to treat unstable pelvic fracture are simple and easy,with high safety factor,which are in line with the principles of minimally invasive orthopedic medicine and precision medicine,and are conducive to the recovery of patients′postoperative function.
维普
万方数据
