A New Technique for Anterior Pelvic Ring Fixation Using a Minimally Invasive Approach

Abstract

Introduction: Percutaneous screw fixation have been introduced as a minimally invasive method in anterior pelvic ring fractures. The aim of the study is to present the outcomes of a new minimally invasive technique for fixation of anterior pelvic ring fractures medial to the pubic tubercle. Materials and Methods: Sixty-two patients were referred to our center during 5 years for the fixation of the anterior pelvic ring fracture under the new procedure. The fracture site was bridged using a 3-hole 3.5 mm reconstruction plate when 1 or 2 long retrograde screw was passed through the plate in the superior ramus. Results: A case of device failure was observed in the patient treated with the new method, which did not lead to loss of reduction and did not limit the patient’s activity. Apart from this, we did not have any abnormalities in the follow-up radiographs of the patients and no complications were reported. Conclusion: The results of this study showed the potential of our new method for fixation of various types of anterior pelvic ring injuries. Level of Evidence: Level IV.