Ansari Muqtadeer, Kawedia Abhay, Chaudhari Hari H, Teke Yogesh R
Department of Orthopedics, Government Medical College and Hospital, Aurangabad, Aurangabad, IND.
Department of Orthopedic Surgery, Jamia Islamia Ishaatul Uloom's (JIIU) Indian Institute of Medical Science and Research, Aurangabad, IND.
Cureus. 2023 Mar 14;15(3):e36134. doi: 10.7759/cureus.36134. eCollection 2023 Mar.
Introduction Pelvic injuries account for 2% of all orthopedic admissions and are associated with high mortality rates. They need a stable fixation and not an anatomical fixation. Hence, the role of internal fixation (INFIX) comes into play, which provides a stable internal fixation without the complication of open reduction and external fixation with plates and screws. Materials and methodology Thirty-one patients with unstable pelvic ring injuries coming to a tertiary care hospital in the state of Maharashtra, India, were selected retrospectively. They were operated on with INFIX. Patients were followed up for a period of six months and evaluated according to the Majeed score. Results There was a significant functional outcome in patients operated on with INFIX in pelvic ring injuries in terms of the ability to sit, stand, rejoin work, take part in sexual intercourse, and bear pain. An average Majeed score of 78 with signs of a stable bony union by six months and a full range of motion was noticed in most patients with no problems in day-to-day work. Conclusion INFIX provides stable internal fixation of pelvic fractures with good functional outcome without the disadvantages of external fixation or open reduction with plates.
引言
骨盆损伤占所有骨科住院病例的2%，且死亡率较高。骨盆损伤需要稳定固定而非解剖复位固定。因此，内固定（INFIX）发挥了作用，它能提供稳定的内固定，而不会出现切开复位及钢板螺钉外固定的并发症。
材料与方法
回顾性选取了印度马哈拉施特拉邦一家三级医院收治的31例骨盆环不稳定损伤患者。这些患者接受了INFIX手术。对患者进行了为期6个月的随访，并根据马吉德评分进行评估。
结果
接受INFIX手术治疗的骨盆环损伤患者在坐、站、恢复工作、进行性生活及忍受疼痛等方面功能恢复显著。大多数患者6个月时马吉德评分平均为78分，有骨愈合稳定迹象，活动范围正常，日常工作无问题。
结论
INFIX可为骨盆骨折提供稳定的内固定，功能恢复良好，且无外固定或切开复位钢板固定的缺点。
