Titanium Elastic Nailing: A minimally invasive solution for pelvic fracture

Published in the prestigious journal ‘Surgical Innovation’, a recent research investigated into the efficacy and safety of titanium elastic nailing (TEN) for pelvic fractures, marking a significant shift in treatment paradigms. It was based on a cohort of 24 patients, comprising 16 males and 8 females who underwent evaluation and treatment.

The procedure involved temporary fixation of pelvic fractures with the help of a pelvic fixation belt along with traction from the lower limb bone. For specific injuries such as anterior pelvic ring and ilium fractures, closed reduction and intramedullary fixation with TEN were employed. The intraoperative C-arm and O-arm fluoroscopy were utilized to ensure precise placement and alignment of the titanium nails.

Through closed reduction and minimally invasive incisions, pelvic fractures were successfully stabilized with the placement of elastic titanium nails. Complications were notably absent, with all patients experiencing successful wound healing without any nerve or vascular injuries. Moreover, early postoperative mobility was encouraged, enabling patients to engage in functional exercises during the initial stages of recovery, noted the study investigators.