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J Postgrad Med. 2019 Jul-Sep;65(3):177-180. doi: 10.4103/jpgm.JPGM_144_19.

INFIX/EXFIX: Innovation managing pelvic fractures in difficult scenarios.

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Departments of Spine and Orthopaedic Surgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.


Pelvic fractures complicated by the presence of visceral injuries, open fractures and urethral or bladder injuries pose a significant challenge to treat. In these conditions internal fixation is usually contraindicated. External fixators, though a potential solution, have disadvantages like loss of reduction, pin tract infection and loosening. INFIX, a novel technique has been effective in managing anterior ring fractures and can be used as a substitute for internal fixation. We describe use of INFIX as EXFIX in three case scenarios where passing INFIX rod internally was precluded with favorable outcomes.


Anterior ring fractures; INFIX; external fixators; pelvic fractures

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