Bagga R, Shetty A P, Kanna R M, Rajasekaran S
Departments of Spine and Orthopaedic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.
J Postgrad Med. 2019 Jul-Sep;65(3):177-180. doi: 10.4103/jpgm.JPGM_144_19.
Pelvic fractures complicated by the presence of visceral injuries, open fractures and urethral or bladder injuries pose a significant challenge to treat. In these conditions internal fixation is usually contraindicated. External fixators, though a potential solution, have disadvantages like loss of reduction, pin tract infection and loosening. INFIX, a novel technique has been effective in managing anterior ring fractures and can be used as a substitute for internal fixation. We describe use of INFIX as EXFIX in three case scenarios where passing INFIX rod internally was precluded with favorable outcomes.
伴有内脏损伤、开放性骨折以及尿道或膀胱损伤的骨盆骨折的治疗是一项重大挑战。在这些情况下，通常禁忌进行内固定。外固定架虽是一种可能的解决方案，但存在复位丢失、针道感染和松动等缺点。INFIX是一种新技术，已有效地用于治疗前环骨折，可作为内固定的替代方法。我们描述了在三种无法经皮插入INFIX棒的病例中使用INFIX作为外固定架的情况，结果良好。
