From: Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures
Advantages | Disadvantages |
---|---|
Minimally-invasive approach with minimal soft tissue damage | Danger of injury to the A./V. epigastrica superficialis and A./V. circumflexa ilium superficialis |
No extensive soft tissue dissection necessary | Danger of perforation of the abdominal muscles and urinary bladder |
Short operation time (average total duration of procedure 30-45 min) | Decreased stability compared to open reduction and plate fixation in pure open-book injuries |
Immediate postoperative mobilisation | Possibly interposed soft tissue within the fracture site cannot be removed |
No contact with other surgical wounds | Fracture fragments causing neural or organ compression cannot be removed |
No open pin tracts compared to the external fixateur | Implant removal always in operative theatre (compared to external fixateur) |
Minimal blood loss | |
No restrictions regarding patient anatomy; easy use even in morbidly obese patients | |
No communication of implants with intra-abdominal compartment | |
Biomechanically proven superior stability compared to external fixateur [20] | |
Further diagnostics such as computed tomography are not interfered with | |
Reversible procedure: Salvage procedures are still available |