PUBIC SYMPHYSIS DIASTASIS TREATED WITH ANTERIOR SUBCUTANEOUS INTERNAL PELVIC FIXATOR A CASE REPORT

Abstract

This is a new method of treatment for Pubic Symphysis diastasis with anterior subcutaneous pelvic internal fixation (later called as INFIX) using pedicle screws and a spinal rod. Pedicle screw and Spinal rod was used to address shortcomings of external fixation (EXFIX).Pedicle screws were passed into AIIS through small incision. Contoured Spinal rod of suitable length passed across the lower abdominal wall in subcutaneous plane, compression achieved manually and rod connected to screws and tightened. Patient is able to tolerate implants and is able to sit, stand and walk without difficulty. Complications include lateral femoral cutaneous nerve irritation, which resolved after 5weeks. Appearance of INFIX provides a new alternative treatment; INFIX is minimally invasive and time-saving for treatment of anterior pelvic ring injuries. The EXFIX is an effective tool for anterior ring fixation and has been widely used. However, it is associated with many complications such as pin-track infection, aseptic loosening and loss of reduction. INFIX is less disabling for treatment of Pubic Symphysis Diastasis.