Müller Franz, Füchtmeier Bernd
Clinic for Trauma, Orthopaedics and Sports Medicine, Hospital Barmherzige Brüder, Prüfeninger Str. 86, 93049 Regensburg, Germany.
SICOT J. 2021;7:40. doi: 10.1051/sicotj/2021037. Epub 2021 Jul 26.
To summarize the literature on transiliac internal fixator (TIFI) indications and outcomes for treating posterior pelvic ring injuries.
We searched databases for original publications in journals. Biomechanical and clinical studies using a TIFI for posterior pelvic ring injuries were considered for inclusion. The dates of publications that were included ranged from January 2000 until December 2020.
A total of 13 articles were reviewed, including eight clinical studies and five biomechanical tests. We found only case series and no multicenter or randomized study. The clinical studies contained data for a total of 186 cases, including indications, treatments, complications, and outcomes, with a minimum follow-up time of 12 months. All studies reported superior results according to operation time, blood loss, complication, dislocation, and union. One biomechanical test evaluated inferior results.
The TIFI is a user-friendly and safe device to treat posterior pelvic injuries. It can also be used for acute, high-impact injuries, and fragility fractures. Nevertheless, there is no evidence concerning which types of pelvic fractures are most beneficial. Therefore, further biomechanical and clinical studies are necessary to resolve this question.
总结有关经髂内固定器（TIFI）治疗骨盆后环损伤的适应证及治疗结果的文献。
我们检索了期刊中的原始出版物数据库。纳入使用TIFI治疗骨盆后环损伤的生物力学和临床研究。纳入的出版物日期范围为2000年1月至2020年12月。
共审查了13篇文章，包括8项临床研究和5项生物力学测试。我们仅发现了病例系列，未找到多中心或随机研究。临床研究包含了总共186例病例的数据，包括适应证、治疗方法、并发症和治疗结果，最短随访时间为12个月。所有研究均报告在手术时间、失血量、并发症、脱位和愈合方面取得了较好的结果。一项生物力学测试评估结果较差。
TIFI是一种治疗骨盆后部损伤的使用方便且安全的器械。它也可用于急性、高冲击力损伤和脆性骨折。然而，尚无证据表明哪种类型的骨盆骨折最适合使用该器械。因此，需要进一步开展生物力学和临床研究来解决这一问题。
