Abo-Elsoud M, Awad MI, Abdel Karim M, Khaled S, Abdelmoneim M. Internal fixator vs external fixator in the management of unstable pelvic ring injuries: A prospective comparative cohort study. World J Orthop 2023; 14(7): 562-571 [PMID: 37485427 DOI: 10.5312/wjo.v14.i7.562]
Corresponding Author of This Article
Mahmoud Abdel Karim, MD, PhD, Professor, Department of Orthopedics and Traumatology, Cairo University Hospitals, Kasr Al-Ainy Street, Cairo 11562, Egypt. mabdelkarim@hotmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Mohamed Abo-Elsoud, Mahmoud Abdel Karim, Sherif Khaled, Mohamed Abdelmoneim, Department of Orthopedics and Traumatology, Cairo University Hospitals, Cairo 11562, Egypt
Mostafa I Awad, Department of Trauma and Orthopedics, Mataria Teaching Hospital, Cairo 4540046, Egypt
Author contributions: All authors have contributed to design of the study, surgical intervention, patients assessment and follow up, manuscript writing and editing.
Institutional review board statement: The study was approved by the ethical committee of faculty of medicine, Cairo university on 8/12/2018 with the number “N-147-2023”.
Clinical trial registration statement: This is not an RCT it wasn’t registered on clinical trial .gov.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All authors confirm that there is no conflict of interest related to this study.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mahmoud Abdel Karim, MD, PhD, Professor, Department of Orthopedics and Traumatology, Cairo University Hospitals, Kasr Al-Ainy Street, Cairo 11562, Egypt. mabdelkarim@hotmail.com
Received: December 28, 2022 Peer-review started: December 28, 2022 First decision: April 13, 2023 Revised: April 14, 2023 Accepted: May 19, 2023 Article in press: May 19, 2023 Published online: July 18, 2023 Processing time: 201 Days and 13.7 Hours
Core Tip
Core Tip: Reconstruction of the pelvic ring anatomy in unstable anterior pelvic ring injures is considered to be a great step to efficiently reduce the mortality rate associated with these types of injures. There is a debate on the use of either anterior subcutaneous pelvis internal fixator (INFIX) or anterior supra-acetabular external fixator (EXFIX) in the management of anterior unstable pelvic ring fracture. This study aimed to compare the functional, radiological outcomes as well as complications of INFIX vs EXFIX in management of unstable pelvic ring injuries. This study showed that anterior subcutaneous pelvis INFIX is associated with better radiological outcome and less rate of infection than anterior supra-acetabular EXFIX in management of patients with anterior unstable pelvic ring fractures.
