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International Orthopaedics

Published in:

01-09-2017 | Original Paper

Complications after percutaneous internal fixator for anterior pelvic ring injuries

Authors: Christian Fang, Hatem Alabdulrahman, Hans-Christophe Pape

Published in: International Orthopaedics | Issue 9/2017

Abstract

Objectives

The aim of the study is to report on the observed incidence of complications following pedicle screw and rod internal fixator (INFIX) stabilization of pelvic ring fractures.

Methods

In a retrospective review of consecutive patient series conducted in a University level 1 trauma hospital, 43 patients (21 female and eight male), mean age 64.2 (range 16-87) with OTA/AO type B or C pelvic ring fractures received percutaneous pedicle screw and rod internal fixator (INFIX) anterior stabilization of pelvic ring fractures; 29 fulfilled inclusion criteria with three months’ minimal follow-up or known complication. Mean follow-up was 7.2 months. Main outcome measure was the incidence of complications and adverse outcomes.

Results

Fourteen (48.3%) had injury to the lateral femoral cutaneous nerve (LFCN). Three (10.3%) had chronic pain of the pelvis not related to the LFCN. Five out of 29 (17%) of patients had unplanned removal before six weeks with two due to early loosening, one femoral nerve palsy, one deep infection and one painful implant impingement. There were no patients with deep vein thrombosis, no intra-abdominal violations or vascular complications; 22 (76%) returned to their premorbid walking status.

Conclusion

With high risk of LFCN injury, we caution against liberal use of the INFIX in patients with stable fractures where conservative treatment may be more appropriate. Most complications occurring from INFIX are self-limiting.

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Title: Complications after percutaneous internal fixator for anterior pelvic ring injuries
Authors: Christian Fang
Hatem Alabdulrahman
Hans-Christophe Pape
Publication date: 01-09-2017
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 9/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-017-3415-4

At a glance: The STEP trials

Springer Medicine

Complications after percutaneous internal fixator for anterior pelvic ring injuries

Abstract

Objectives

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusion

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