Objective: To analyze the literature on the application of minimally invasive internal fixation in the surgical treatment of pelvic fractures, and to evaluate the effect of minimally invasive internal fixation on the surgical treatment of pelvic fractures. Methods: PubMed, Web ofScience, CBM, CNKI, VIP and Wanfang databases were searched. The collection period started from September 2017, and the literatures were submitted after the collection. Prior to pelvic fracture surgery, we will conduct a controlled clinical trial using minimally invasive internal fixation techniques. We will carefully review the literature of all participating experiments according to preset screening and ranking criteria and obtain valid results from them. We will use RevMan5.3 software to complete the meta-analysis. A total of 638 patients were enrolled in 9 clinical practices, including 279 patients in the practice group using minimally invasive internal fixation technique and 359 patients in the practice group using traditional methods. After meta-analysis, we can get: Compared with traditional surgical techniques, patients using minimally invasive internal fixation techniques had operative duration [SMD: -2.81, CI: 95%CI (-3.76, -1.85)], intraoperative blood loss: -3.28, CI: 95%ci (-4.72, -1.85)], and postoperative complications: 0.47. With a 95%ci of 0.25, these are more effective than traditional surgical techniques. In addition, in patients with minimally invasive internal fixation, the superior rate of reduction of pelvic fractures after surgery was [OR=2.09], which is significantly different from that of traditional surgical techniques. Our conclusions are as follows: In pelvic surgery, minimally invasive internal fixation technology can significantly shorten the postoperative treatment time, reduce massive bleeding, and alleviate surgical complications, and also significantly improve the function of the pelvis, and its improvement effect [OR=1.94, 95%CI (1.15, 3.28)] is significantly better than that of traditional surgical techniques.

Jun Lv. Meta-analysis of Minimally Invasive Internal Fixation in the Treatment of Complications of Anterior Pelvic Ring Injury. International Journal of World Medicine (2023), Vol. 4, Issue 3: 79-92. https://doi.org/10.38007/IJWM.2023.040310.

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