Minimally invasive stabilisation of anterior pelvic ring injuries through anterior infix versus percutaneous anterior retrograde pubic screw: a prospective comparative cohort study - Report - MDSpire

Minimally invasive stabilisation of anterior pelvic ring injuries through anterior infix versus percutaneous anterior retrograde pubic screw: a prospective comparative cohort study

  • By

  • Ahmed Goda El-Hamalawy

  • Mohamed Abdelmoneim

  • Mohamed Al-Sayed

  • Mohamed Youness

  • Fouad Sadek

  • Elsayed Kassem

  • June 25, 2026

  • 0 min

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Clinical Report: Comparative Analysis of Anterior Infix and Percutaneous Anterior Retrograde Pubic Screw

Overview

This study compares the outcomes of anterior infix fixation and percutaneous anterior retrograde pubic screw fixation for managing unstable anterior pelvic ring injuries. The evaluation focuses on primary outcomes using the Pelvic Outcome Score and secondary outcomes including the Matta and Majeed scores.

Background

Pelvic ring fractures account for about 3% of adult fractures and can lead to significant morbidity and mortality, particularly in unstable anterior pelvic ring injuries. This study addresses the comparative effectiveness of two minimally invasive surgical techniques in managing such fractures.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Anterior infix fixation is a minimally invasive technique that provides satisfactory reduction and reliable fracture healing.
  • Complications associated with the infix technique include nerve palsy and surgical site infections.
  • Percutaneous retrograde pubic ramus screw fixation offers minimal blood loss and lower rates of complications compared to traditional methods.
  • Both techniques were assessed for intra-operative parameters and radiological outcomes.

Clinical Implications

Understanding the comparative outcomes of these fixation techniques can guide orthopedic surgeons in selecting appropriate methods for stabilizing anterior pelvic ring injuries. The findings may influence surgical decision-making in clinical practice.

Conclusion

The study evaluates two minimally invasive techniques for anterior pelvic ring injuries.

Related Resources & Content

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  3. Author(s)/Org, Source, Year -- Title
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  5. Joint Trauma System, JTS, 2026 -- Pelvic Fracture Care Clinical Practice Guideline
  6. Efficacy and safety of different fixation methods for unstable anterior pelvic ring fractures: a Bayesian network meta-analysis - PMC
  7. Pubic ramus screw, AO Surgery Reference
  8. https://jts.health.mil/assets/docs/cpgs/Pelvic_Fracture_Care_17_Feb_2026_ID34.pdf
  9. Efficacy and safety of different fixation methods for unstable anterior pelvic ring fractures: a Bayesian network meta-analysis - PMC
  10. Pubic ramus screw

Original Source(s)

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