INFIX/EXFIX: Massive Open Pelvic Injuries and Review of the Literature

Table 1

Case summaries.

Case	Injury	General surgery	Urology	Orthopaedics	Outcome
1; 41 yo forklift- crush; ISS 20	APC 3 massive open injury; Crushed pelvis; Extremis	Pelvic packing, temporary Aortic control clamp, colostomy	Suprapubic, orchiectomy	INFIX/EXFIX; posterior SI screw, hip disarticulation	Survived to prosthetic fitting, bowel hooked up, Complication with heterotopic bone prosthetic fitting
2; 62 yo MVA; ISS 18	LC3 open; Massive anterior open injury; Extremis	Colostomy, debridement, implanted testicles in thigh	Suprapubic	INFIX/EXFIX, iliac screw posterior SI screws	Wound healed, pelvis healed, skin healing
3; 21 yo MVA pelvis impaled by a pole; ISS 45	APC3 open; Massive anterior and posterior wounds, extremis	Colostomy, aortic control clamp packing	Suprapubic	INFIX; antishock SI screws	Patient died in ICU POD #3; Rt tibia open fx, Rib fx pneumothorax bilateral pulmonary contusion
4; 21 yo MVA motorcycle; ISS 18	APC3 massive perineal wound with bowel hernia	Colostomy laparotomy	Suprapubic catheter	INFIX SI screws	Survived hooked up doing fine