Progress of anterior subcutaneous internal fixation in the treatment of anterior pelvic ring injury
10.12200/j.issn.1003-0034.20230637
- VernacularTitle:前环皮下内固定治疗骨盆前环损伤的研究进展
- Author:
Dong-Qing CUI
1
;
Bin CHEN
;
Hai-Yu SUN
Author Information
1. 山西医科大学第二医院骨科,山西 太原 030001
- Keywords:
Internal fixation(INFIX);
Anterior pelvic ring injury;
Pelvic fracture;
Review
- From:
China Journal of Orthopaedics and Traumatology
2024;37(5):530-534
- CountryChina
- Language:Chinese
-
Abstract:
Anterior subcutaneous internal fixation(INFIX)is one of the current representatives of minimally invasive fix-ation of injuries to the anterior pelvic ring.The nail insertion point of this technique is located at the anterior inferior iliac spinous screw,with an angle of 30° outward and 20° backward.Screw in at an angle,and note that the screw head should be above the deep fascia and maintain a safe distance of 20 to 25 mm from the bone surface.Its improved versions include 3 or 4 nails INFIX with added pubic tubercle screws,unilateral INFIX,short-rod INFIX,and double INFIX.These improvements fur-ther enhance stability.The lateral femoral cutaneous nerve(LFCN)is relatively easy to be damaged during anatomy,so special attention should be paid during the operation.Biomechanical stability has advantages over external fixation,and its application is flexible.It is not limited to pubic ramus fracture,symphyseal separation,etc.It also plays an important role in combined an-terior and posterior ring fixation.It can be combined with posterior sacroiliac screws,iliac lumbar screws,etc.Fixed etc.Good clinical results have also been reported in children,pregnant women,and people with contraindications for subcutaneous con-necting rods.In addition,the current application of robots,reduction frames and other technologies has greatly reduced the dif-ficulty of reduction and improved the quality of closed reduction,making it possible to fix complex pelvic fracture.This tech-nique has high reduction quality and is as effective as traditional steel plates.A common complication is LFCN injury.Careful exposure and adjustment of the position and depth of internal fixation during surgery can effectively avoid this complication.
