Background: The pelvis, being an inherently stable structure, requires a very high energy blunt trauma for pelvic ring disruption. This study aimed to evaluate the clinical and radiological outcomes of minimally invasive techniques (Iliosacral screw, External fixator and Anterior subcutaneous internal fixator) in the treatment of rotationally and vertically unstable pelvic ring injuries. Methods: This prospective interventional study included 20 patients with unstable pelvic ring injuries (type C fractures according to Tile classification) treated by minimally invasive fixation in the form of percutaneous iliosacral screws for posterior ring injuries and by external fixator or anterior subcutaneous internal fixation device “INFIX” for anterior ring injuries or combination of the two methods at Orthopedic Surgery Department, Faculty of Medicine Benha University. All patients underwent examination and radiological evaluation. Results: There was a significant positive correlation between Majeed score and mode of injury, the duration from injury to surgery (p=0.039, 0.021). There was a significant negative correlation between Majeed score and operative time (p=0.013). There was no significant correlation between Majeed score and age, age category, sex and implant removal. Conclusion: Percutaneous fixation of pelvic ring injuries represents a safe and efficient technique characterized by short operative times, fewer complications, and superior outcomes. It typically results in shorter hospital stays and promotes early healing, making it a compelling option for pelvic ring fracture fixation and advocating for its standardization. |
