Research progress in internal fixation for treatment of pelvic anterior ring injury_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Jialei , Walter M Chirume ,  FANG Yue

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;

Corresponding author：

FANG Yue, Email: fangyue1968@163.com

Keywords：

Internal fixation; pelvic anterior ring injury; research progress

DOI：

10.7507/1002-1892.201811105

Video：

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Objective To review the research progress of the application of internal fixation (INFIX) in the treatment of pelvic anterior ring injuries.Methods The recent literature about INFIX in the treatment of pelvic anterior ring injury concerning the surgery technique, biomechanical characteristics, indications, contraindications, advantages, complications, and effectiveness was extensively consulted, reviewed, and summarized.Results INFIX is a relatively novel technique for the treatment of pelvic anterior ring injuries at present. The advantages include good biomechanical properties, extensive indications, minimally invasion, convenient nursing, less complications, and excellent effectiveness.Conclusion It is a clinical method with obvious advantages and development potential for treatment of pelvic anterior ring injuries using INFIX, and further study is needed to improve its effectiveness.

Citation： CHEN Jialei, Walter M Chirume, FANG Yue. Research progress in internal fixation for treatment of pelvic anterior ring injury. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(11): 1462-1465. doi: 10.7507/1002-1892.201811105 Copy

1.	Bi C, Wang Q, Nagelli C, et al. Treatment of unstable posterior pelvic ring fracture with pedicle screw-rod fixator versus locking compression plate: a comparative study. Med Sci Monit, 2016, 22: 3764-3770.
2.	张楠威, 于滨生. 经 S₂ 骶髂螺钉技术在脊柱骨盆稳定性重建中的应用的研究进展. 中国修复重建外科杂志, 2018, 32(6): 762-768.
3.	Vigdorchik JM, Esquivel AO, Jin X, et al. Biomechanical stability of a supra-acetabular pedicle screw internal fixation device (INFIX) vs external fixation and plates for vertically unstable pelvic fractures. J Orthop Surg Res, 2012, 7: 31.
4.	Kuttner M, Klaiber A, Lorenz T, et al. The pelvic subcutaneous cross-over internal fixator. Unfallchirurg, 2009, 112(7): 661-669.
5.	Vaidya R, Colen R, Vigdorchik J, et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series. J orthop Trauma, 2012, 26(1): 1-8.
6.	Smith A, Malek IA, Lewis J, et al. Vascular occlusion following application of subcutaneous anterior pelvic fixation (INFIX) technique. J Orthop Surg (Hong Kong), 2017, 25(1): 2309499016684994.
7.	Hesse D, Kandmir U, Solberg B, et al. Femoral nerve palsy after pelvic fracture treated with INFIX: a case series. J Orthop Trauma, 2015, 29(3): 138-143.
8.	Scheyerer MJ, Zimmermann SM, Osterhoff G, et al. Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures. BMC Res Notes, 2014, 7: 133.
9.	Mcdonald E, Theologis AA, Horst P, et al. When do anterior external or internal fixators provide additional stability in an unstable (Tile C) pelvic fracture? A biomechanical study Eur J Trauma Emerg Surg, 2015, 41(6): 665-671.
10.	Wang Q, Wang Q, Wang J. Treatment of type B pelvic fracture using anterior subcutaneous internal fixator with triple pedicle screws: a new surgical technique. Arch Orthop Trauma Surg, 2017, 137(7): 887-893.
11.	李斯铭, 王冬梅, 曲爱丽, 等. 钉棒内固定 Tile B2 型骨盆骨折的生物力学效果. 医用生物力学, 2016, 31(3): 240-246.
12.	Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma, 2007, 21(10 Suppl): S1-S133.
13.	Müller FJ, Stosiek W, Zellner M, et al. The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures: clinical and radiological mid-term results. Int Orthop, 2013, 37(11): 2239-2245.
14.	Gardner MJ, Mehta S, Mirza A, et al. Anterior pelvic reduction and fixation using a subcutaneous internal fixator. J Orthop Trauma, 2012, 26(5): 314-321.
15.	Tile M, Helfet D, Kellams J. Fractures of the pelvis and acetabulum. 3rd eds. Philadelphia: Lippincott Williams & Wilkins, 2003: 131-167.
16.	Vaidya R, Kubiak EN, Bergin PF, et al. Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study. Clin Orthop Relat Res, 2012, 470(8): 2124-2131.
17.	Young JW, Burgess AR, Brumback RJ, et al. Pelvic fractures: value of plain radiography in early assessment and management. Radiology, 1986, 160(2): 445-451.
18.	Shetty AP, Bosco A, Perumal R, et al. Midterm radiologic and functional outcomes of minimally-invasive fixation of unstable pelvic fractures using anterior internal fixator(INFIX) and percutaneous iliosacral screws. J Clin Orthop Trauma, 2017, 8(3): 241-248.
19.	Vaidya R, Nasr K, Feria-Arias E, et al. INFIX/EXFIX: Massive open pelvic injuries and review of the literature. Case Rep Orthop, 2016, 2016: 9468285.
20.	王谦, 周峰, 邓国英, 等. 3 钉椎弓根螺钉系统前环经皮内固定支架治疗 Tile B 型骨盆骨折. 中华创伤杂志, 2016, 32(12): 1067-1072.
21.	Merriman DJ, Ricci WM, McAndrew CM, et al. Is application of an internal anterior pelvic fixator anatomically feasible? Clin Orthop Relat Res, 2012, 470(8): 2111-2115.
22.	Vigdorchik JM, Esquivel AO, Jin X, et al. Anterior internal fixator versus a femoral distractor and external fixation for sacroiliac joint compression and single stance gait testing: a mechanical study in synthetic bone. Int Orthop, 2013, 37(7): 1341-1346.
23.	Vaidya R, Martin AJ, Roth M, et al. Midterm radiographic and functional outcomes of the anterior subcutaneous internal pelvic fixator (INFIX) for pelvic ring injuries. J Orthop Trauma, 2017, 31(5): 252-259.
24.	Fang C, Alabdulrahman H, Pape HC. Complications after percutaneous internal fixator for anterior pelvic ring injuries. Int Orthop, 2017, 41(9): 1785-1790.
25.	Vaidya R, Martin AJ, Roth M, et al. INFIX versus plating for pelvic fractures with disruption of the symphysis pubis. Int Orthop, 2017, 41(8): 1671-1678.
26.	Vaidya R, Woodbury D, Nasr K. Anterior subcutaneous internal pelvic fixation/INFIX: a systemic review. J Orthop Trauma, 2018, 32 Suppl 6: S24-S30.
27.	Wu XT, Liu ZQ, Fu WQ, et al. Minimally invasive treatment of unstable pelvic ring injuries with modified pedicle screw-rod fixator. J Int Med Res, 2018, 46(1): 368-380.
28.	韩巍, 吴新宝, 姜钰, 等. 内置固定架治疗骨盆骨折致股神经麻痹三例. 中国修复重建外科杂志, 2016, 30(4): 523-524.
29.	Dahill M, McArthur J, Roberts GL, et al. The use of an anterior pelvic internal fixator to treat disruptions of the anterior pelvic ring: a report of technique, indications and complications. Bone Joint J, 2017, 99-B(9): 1232-1236.
30.	Matta JM. Indications for anterior fixation of pelvic fractures. Clin Orthop Relat Res, 1996, (329): 88-96.
31.	Majeed SA. Grading the outcome of pelvic fractures. J Bone Joint Surg (Br), 1989, 71(2): 304-306.
32.	Pohlemann T, Gänsslen A, Schellwald O, et al. Outcome evaluation after unstable injuries of the pelvic ring. Unfallchirurg, 1996, 99(4): 249-259.

1. Bi C, Wang Q, Nagelli C, et al. Treatment of unstable posterior pelvic ring fracture with pedicle screw-rod fixator versus locking compression plate: a comparative study. Med Sci Monit, 2016, 22: 3764-3770.
2. 张楠威, 于滨生. 经 S₂ 骶髂螺钉技术在脊柱骨盆稳定性重建中的应用的研究进展. 中国修复重建外科杂志, 2018, 32(6): 762-768.
3. Vigdorchik JM, Esquivel AO, Jin X, et al. Biomechanical stability of a supra-acetabular pedicle screw internal fixation device (INFIX) vs external fixation and plates for vertically unstable pelvic fractures. J Orthop Surg Res, 2012, 7: 31.
4. Kuttner M, Klaiber A, Lorenz T, et al. The pelvic subcutaneous cross-over internal fixator. Unfallchirurg, 2009, 112(7): 661-669.
5. Vaidya R, Colen R, Vigdorchik J, et al. Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series. J orthop Trauma, 2012, 26(1): 1-8.
6. Smith A, Malek IA, Lewis J, et al. Vascular occlusion following application of subcutaneous anterior pelvic fixation (INFIX) technique. J Orthop Surg (Hong Kong), 2017, 25(1): 2309499016684994.
7. Hesse D, Kandmir U, Solberg B, et al. Femoral nerve palsy after pelvic fracture treated with INFIX: a case series. J Orthop Trauma, 2015, 29(3): 138-143.
8. Scheyerer MJ, Zimmermann SM, Osterhoff G, et al. Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures. BMC Res Notes, 2014, 7: 133.
9. Mcdonald E, Theologis AA, Horst P, et al. When do anterior external or internal fixators provide additional stability in an unstable (Tile C) pelvic fracture? A biomechanical study Eur J Trauma Emerg Surg, 2015, 41(6): 665-671.
10. Wang Q, Wang Q, Wang J. Treatment of type B pelvic fracture using anterior subcutaneous internal fixator with triple pedicle screws: a new surgical technique. Arch Orthop Trauma Surg, 2017, 137(7): 887-893.
11. 李斯铭, 王冬梅, 曲爱丽, 等. 钉棒内固定 Tile B2 型骨盆骨折的生物力学效果. 医用生物力学, 2016, 31(3): 240-246.
12. Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma, 2007, 21(10 Suppl): S1-S133.
13. Müller FJ, Stosiek W, Zellner M, et al. The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures: clinical and radiological mid-term results. Int Orthop, 2013, 37(11): 2239-2245.
14. Gardner MJ, Mehta S, Mirza A, et al. Anterior pelvic reduction and fixation using a subcutaneous internal fixator. J Orthop Trauma, 2012, 26(5): 314-321.
15. Tile M, Helfet D, Kellams J. Fractures of the pelvis and acetabulum. 3rd eds. Philadelphia: Lippincott Williams & Wilkins, 2003: 131-167.
16. Vaidya R, Kubiak EN, Bergin PF, et al. Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study. Clin Orthop Relat Res, 2012, 470(8): 2124-2131.
17. Young JW, Burgess AR, Brumback RJ, et al. Pelvic fractures: value of plain radiography in early assessment and management. Radiology, 1986, 160(2): 445-451.
18. Shetty AP, Bosco A, Perumal R, et al. Midterm radiologic and functional outcomes of minimally-invasive fixation of unstable pelvic fractures using anterior internal fixator(INFIX) and percutaneous iliosacral screws. J Clin Orthop Trauma, 2017, 8(3): 241-248.
19. Vaidya R, Nasr K, Feria-Arias E, et al. INFIX/EXFIX: Massive open pelvic injuries and review of the literature. Case Rep Orthop, 2016, 2016: 9468285.
20. 王谦, 周峰, 邓国英, 等. 3 钉椎弓根螺钉系统前环经皮内固定支架治疗 Tile B 型骨盆骨折. 中华创伤杂志, 2016, 32(12): 1067-1072.
21. Merriman DJ, Ricci WM, McAndrew CM, et al. Is application of an internal anterior pelvic fixator anatomically feasible? Clin Orthop Relat Res, 2012, 470(8): 2111-2115.
22. Vigdorchik JM, Esquivel AO, Jin X, et al. Anterior internal fixator versus a femoral distractor and external fixation for sacroiliac joint compression and single stance gait testing: a mechanical study in synthetic bone. Int Orthop, 2013, 37(7): 1341-1346.
23. Vaidya R, Martin AJ, Roth M, et al. Midterm radiographic and functional outcomes of the anterior subcutaneous internal pelvic fixator (INFIX) for pelvic ring injuries. J Orthop Trauma, 2017, 31(5): 252-259.
24. Fang C, Alabdulrahman H, Pape HC. Complications after percutaneous internal fixator for anterior pelvic ring injuries. Int Orthop, 2017, 41(9): 1785-1790.
25. Vaidya R, Martin AJ, Roth M, et al. INFIX versus plating for pelvic fractures with disruption of the symphysis pubis. Int Orthop, 2017, 41(8): 1671-1678.
26. Vaidya R, Woodbury D, Nasr K. Anterior subcutaneous internal pelvic fixation/INFIX: a systemic review. J Orthop Trauma, 2018, 32 Suppl 6: S24-S30.
27. Wu XT, Liu ZQ, Fu WQ, et al. Minimally invasive treatment of unstable pelvic ring injuries with modified pedicle screw-rod fixator. J Int Med Res, 2018, 46(1): 368-380.
28. 韩巍, 吴新宝, 姜钰, 等. 内置固定架治疗骨盆骨折致股神经麻痹三例. 中国修复重建外科杂志, 2016, 30(4): 523-524.
29. Dahill M, McArthur J, Roberts GL, et al. The use of an anterior pelvic internal fixator to treat disruptions of the anterior pelvic ring: a report of technique, indications and complications. Bone Joint J, 2017, 99-B(9): 1232-1236.
30. Matta JM. Indications for anterior fixation of pelvic fractures. Clin Orthop Relat Res, 1996, (329): 88-96.
31. Majeed SA. Grading the outcome of pelvic fractures. J Bone Joint Surg (Br), 1989, 71(2): 304-306.
32. Pohlemann T, Gänsslen A, Schellwald O, et al. Outcome evaluation after unstable injuries of the pelvic ring. Unfallchirurg, 1996, 99(4): 249-259.

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