Fixation of unstable pelvic fractures with minimally invasive adjustable plate

Objective: Unstable pelvic fractures are relatively rare injuries usually requiring reduction and internal fixation. Selecting appropriate methods for unstable pelvic fractures remains a challenging problem for orthopaedic surgeons. The aim of this study was to present the techniques and outcomes of MIAP for unstable pelvic fractures. Methods: We performed a retrospective analysis of patients with unstable pelvic ring fractures treated with minimally invasive adjustable plate at a level I trauma centre. Outcome evaluation was assessed using Majeed score standard, duration of surgery, blood loss, radiation exposure and size of incision. Results: Twenty-one patients were available for follow-up after at least 12 months. The main findings were as follows: the average duration of surgery was 67.5 min, the intraoperative blood loss was 204 ml on average, the average radiation exposure was 8 s, and the size of incision was 8.8 cm on average. The mean Majeed functional evaluation score was 85.3 points. Conclusion: Minimally invasive adjustable plate may be a good alternative for treating unstable pelvic fractures. It has the advantages of technically safe, minimally invasive, less radiation exposure and time saving.