scholarly journals Minimally invasive treatment for anterior pelvic ring injuries with modified pedicle screw-rod fixation: a retrospective study

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Chun-Chi Hung ◽  
Jia-Lin Wu ◽  
Yuan-Ta Li ◽  
Yung-Wen Cheng ◽  
Chia-Chun Wu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Minimally Invasive ◽  
Pedicle Screw ◽  
Pelvic Ring ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Pelvic Ring Injuries

scholarly journals Minimally invasive treatment of unstable pelvic ring injuries with modified pedicle screw–rod fixator

2017 ◽  
Vol 46 (1) ◽  
pp. 368-380 ◽  
Author(s):  
Xiao-Tian Wu ◽  
Zuo-Qing Liu ◽  
Wen-Qin Fu ◽  
Shan Zhao
Keyword(s):  
Minimally Invasive ◽  
Pedicle Screw ◽  
Pelvic Ring ◽  
Femoral Nerve ◽  
Clinical Results ◽  
Posterior Fixation ◽  
Invasive Treatment ◽  
Pelvic Ring Injuries ◽  
Unstable Pelvic Ring Injuries

Objective To evaluate the clinical application of the minimally invasive modified pedicle screw–rod fixator for unstable pelvic ring injuries, including its feasibility, merits, and limitations. Methods Twenty-three patients (13 males, 10 females; average age, 36.3 years) with unstable pelvic ring injuries underwent anterior fixation using a modified pedicle screw–rod fixator with or without posterior fixation using a transiliac internal fixator. The clinical findings were assessed using Majeed scores. The quality of reduction was evaluated using the Matta criteria. Results Clinical results at 1 year postoperatively were excellent in 14 patients, good in 7, and fair in 2. The two patients with fair results had intermittent pain at the sacroiliac joint because of the posterior implant. One woman complained of persistent pain at the pubic tubercle during sexual intercourse. Iatrogenic neuropraxia of the unilateral lateral femoral cutaneous nerve occurred in three patients. Unilateral femoral nerve palsy occurred in one patient. The quality of fracture reduction was excellent in 12 patients, good in 8, and fair in 3. Heterotopic ossification occurred in eight patients; all were asymptomatic. Conclusions Minimally invasive modified pedicle screw-rod fixation is an effective alternative treatment for pelvic ring injuries.

scholarly journals Biomechanical comparison of minimally invasive treatment options for Type C unstable fractures of the pelvic ring

2020 ◽  
Vol 106 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Adrian Cavalcanti Kußmaul ◽  
Axel Greiner ◽  
Christian Kammerlander ◽  
Christian Zeckey ◽  
Matthias Woiczinski ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pelvic Ring ◽  
Treatment Options ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Type C ◽  
Biomechanical Comparison ◽  
Unstable Fractures

scholarly journals Minimally Invasive Treatment of Pelvic Fractures With Titanium Elastic Nailing: an Innovative Technology

2021 ◽  
Author(s):  
Zhaofeng Jia ◽  
Wangxing Liu ◽  
Jiandong Lin ◽  
Jingyin Ding ◽  
Xinjia Hu
Keyword(s):  
Minimally Invasive ◽  
Closed Reduction ◽  
Pelvic Ring ◽  
Early Stage ◽  
Pelvic Fractures ◽  
Minimally Invasive Treatment ◽  
Innovative Technology ◽  
Invasive Treatment ◽  
Pelvic Fixation ◽  
Titanium Elastic Nailing

Abstract Background: Minimally invasive treatment has become the most popular and effective method for the treatment of pelvic fractures. The aim of this study was to evaluate the safety and efficacy of a new technique, titanium elastic nailing (TEN), for the minimally invasive treatment of pelvic fractures. Methods: 18 patients with pelvic fractures were referred to us between March 2020 to November 2020, including 13 males and 5 females. The pelvic fractures were temporarily fixed by pelvic fixation belt accompanied with the traction from lower limb bone. The anterior pelvic ring injury (superior ramus of pubis) and ilium fracture were all treated with closed reduction and intramedullary fixation with minimally invasive TEN. Intraoperative C-arm, including pelvic anteroposterior, pelvic outlet, inlet and ilium oblique view) and O-arm fluoroscopy (intraoperative CT) were employed to determine the reduction of fractures and the location of elastic titanium nails in the bone channel. Results: By adopting closed reduction and minimally invasive incision, the pelvic fractures could be safely fixed by placing the elastic titanium nail in the osseous medullary cavity channels of the pelvis. Postoperative investigation indicated that the wounds of all the patients were healed in the first stage, without any occurrence of complications such as nerve, blood vessel and important tissue structure injuries. The patients recovered quickly after the operation and could perform functional exercise in the early stage. Conclusion: TEN can be used for the minimally invasive treatment of pelvic fractures. This novel technique has no obvious complications and worthwhile to use in clinic practice.

scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

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