Modified pedicle screw-rod has better fixation stability, St
This study compared the stability and clinical outcomes of modified pedicle screw-rod fixation (MPSRF) and anterior subcutaneous internal pelvic fixation (INFIX) for the treatment of anterior pelvic ring fractures using the Tornetta and Matta grading system and finite element analyses (FEA).

In a retrospective review of a consecutive patient series, 63 patients with Orthopaedic Trauma Association (OTA) type B or C pelvic ring fractures were treated by MPRSF (n = 30) or INFIX (n = 33). The main outcome measures were the Majeed score, incidence of complications, and adverse outcomes, and fixation stability as evaluated by finite element analysis.

Results:
--63 patients were included in the study, with an average age of 34.4 and 36.2 in modified group and conventional group, respectively.

--2 groups did not differ in terms of the injury severity score, OTA classification, cause of injury, and time to pelvic surgery.

--However, the MPSRF group had a rate of higher satisfactory results according to the Tornetta and Matta grading system than the conventional group (73.33% vs 63.63%) as well as a higher Majeed score, and these differences were statistically significant at 6 months post-surgery.

--FEA showed that MPSRF was stiffer and more stable than INFIX and had a lower risk of implant failure.

Both MPSRF and INFIX provides acceptable biomechanical stability for the treatment of unstable anterior pelvic ring fractures. However, MPSRF provides better fixation stability and a lower risk of implant failure, and can thus leads to better clinical outcomes. Therefore, MPSRF should be more widely applied to anterior pelvic ring fractures.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02618-9
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