The use of a curved internal fixation device in adult pelvic Fractures: Short-Term clinical outcomes in high and low energy fractures

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-05-09 DOI:10.1016/j.jcot.2025.103035

Anthony Sleiman , Christopher Bejcek , Jeffrey Baker , Jeffrey D. Voigt , Kristin Delfino , Matthew Gardner

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引用次数: 0

Abstract

Background

Current methods of percutaneous fixation for pelvic and acetabular fractures are limited due to the curvature of the pelvic anatomy. The goals of fixation are to reduce pain, improve mobility and decrease length of stay. An implant specifically designed for use in the curved osseous fixation pathways of the pelvis may allow for more stable fixation.

Objective

The objective of this review was to examine the results of a new method of fixation (CurvaFix®) for pelvic and acetabular fractures.

Methods

A retrospective chart review of CurvaFix was employed and evaluated for implant fixation, complications, hospital length of stay (LOS), and inpatient mobility and then compared to current standards of care from the literature for percutaneous fixation.

Results

A curved intramedullary device was used to treat 31 low energy and 21 high energy fractures over a median 3.4 months. The median LOS was 7 [1 to 27] days for low and 11 [0 to 68] days for high energy fractures. Median time to first inpatient ambulation was 37 h in high energy fractures and 25 h in low energy injuries. Aggregated complications occurred in 21.3 % (10/46) of patients. Peri-implant failure occurred in 2 patients, with no incidences of hardware failure.

Conclusions

This case series demonstrates curved internal fixation is a viable option to consider among other treatment modalities for pelvic ring and acetabular fractures and may allow for early inpatient ambulation and a shorter LOS. Comparative studies are needed to confirm this.

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弯曲内固定装置在成人骨盆骨折中的应用：高能和低能骨折的短期临床结果

背景目前经皮固定骨盆和髋臼骨折的方法由于骨盆解剖结构的弯曲而受到限制。固定的目的是减轻疼痛，改善活动能力和缩短住院时间。专门设计用于骨盆弯曲骨固定通路的植入物可以实现更稳定的固定。本综述的目的是研究一种新的骨盆和髋臼骨折固定方法（曲率固定®）的效果。方法回顾性分析了曲率固定的使用情况，并对其植入物固定、并发症、住院时间（LOS）和住院活动能力进行了评估，并与目前文献中关于经皮固定的护理标准进行了比较。结果应用弯曲髓内装置治疗低能骨折31例，高能骨折21例，中位时间3.4个月。低能骨折的中位LOS为7[1 ~ 27]天，高能骨折的中位LOS为11[0 ~ 68]天。高能骨折至首次住院走动的中位时间为37小时，低能损伤为25小时。聚集性并发症发生率为21.3%（10/46）。2例患者发生种植体周围失败，无硬件故障发生。结论：本病例系列表明弯曲内固定是骨盆环和髋臼骨折的一种可行的治疗方法，可以允许早期住院活动和更短的LOS。需要进行比较研究来证实这一点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.