Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology

Jia, Zhaofeng1,2,3; Qin, Hanjun1,2,3; Lin, Jiandong1,2,3; Wang, Xin1,2,3; Bai, Ruochen1,2,3; Zou, Suying1,2,3; Huang, Wenjun1,2,3; Hu, Xinjia1,2,3

2024-04-01

10.1177/15533506241249260

SURGICAL INNOVATION   影响因子和分区

1553-3506

1553-3514

Background Minimally invasive treatment has become the most popular and effective treatment for pelvic fractures. This study aimed to evaluate the safety and efficacy of a new technique, titanium elastic nailing (TEN), for the minimally invasive treatment of pelvic fractures.Method Twenty-four patients with pelvic fractures were referred to us between January 2020 to January 2022, including sixteen males and 8 females. Pelvic fractures were temporarily fixed by pelvic fixation belt accompanied by traction from the lower limb bone. Anterior pelvic ring injuries (superior ramus of pubis) and ilium fractures were treated with closed reduction and intramedullary fixation with minimally invasive TEN. Intraoperative C-arm, including pelvic anteroposterior, pelvic outlet, inlet and ilium oblique views, and O-arm fluoroscopy (intraoperative CT) were employed to assess fractures reduction and determine the location of the elastic titanium nail within the bone channel.Results By adopting closed reduction and minimally invasive incision techniques, pelvic fractures could be safely fixed by placing an elastic titanium nail in the osseous medullary cavity channels of the pelvis. Postoperative investigation indicated that the wounds of all patients were healed in the first stage without any occurrence of complications, such as injuries to the nerves, blood vessels, and important tissue structures. Patients are essential quickly after the operation and could perform the functional exercise in the early stages of the recovery.Conclusion TEN can be used for minimally invasive treatment of pelvic fractures. This novel technique has no obvious complications and is worthwhile in clinical practice.

titanium elastic nailing intramedullary fixation pelvic fractures minimally invasive treatment

SCI

英语

通讯

National Natural Science Foundation of China[81902196] ; Young and middle-aged scientific research backbone cultivation project of Shenzhen People's Hospital[SY-KYPY201903] ; Shenzhen Science and Technology Research Fund Basic Research[JCYJ20220530152214032] ; Shenzhen Science and Technology Research Fund Basic Research Special Project (Natural Science Foundation)[JCYJ20220530152213030]

Surgery

Surgery

WOS:001207426400001

SAGE PUBLICATIONS INC

Web of Science

1.Jinan Univ, Shenzhen Peoples Hosp, Clin Med Coll 2, Dept Traumat Orthoped, Shenzhen 518035, Peoples R China
2.Shenzhen Peoples Hosp, Jinan Univ, Inst Orthoped Res, Clin Med Coll 2, Shenzhen 518035, Peoples R China
3.Southern Univ Sci & Technol, Affilliated Hosp 1, Shenzhen 518035, Peoples R China

Jia, Zhaofeng,Qin, Hanjun,Lin, Jiandong,et al. Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology[J]. SURGICAL INNOVATION,2024.

Jia, Zhaofeng.,Qin, Hanjun.,Lin, Jiandong.,Wang, Xin.,Bai, Ruochen.,...&Hu, Xinjia.(2024).Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology.SURGICAL INNOVATION.

Jia, Zhaofeng,et al."Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology".SURGICAL INNOVATION (2024).