The Bridging Infix: a modified, minimally invasive subcutaneous anterior pelvic fixation technique

Various methods for anterior pelvic ring fixation have been described in the literature, each with specific advantages and disadvantages. We describe a modified minimally invasive subcutaneous technique fixation: Bridging Infix. It combines benefits of internal plate external fixator principles. merged features existing INFIX Pelvic Bridge techniques during design. Similar to these techniques, we use plate-rods typically used occipitocervical fusions. The design changes allow less discomfort due prominent hardware thin patients eliminate need an intact medial pubic rami fixation. There is also no risk bladder injury accidental screw perforation through rami. Infix ideal who are physiologically too frail extensive open reduction osteosynthesis, such as elderly fragility fractures failing mobilise pain. can be whom fixators may impractical or poorly tolerated, obese those increased nursing demands. This does not provide adequate posterior stability, thus it requires tension band addition separate Patients commence in-bed mobilisation same day procedure, weight-bearing tolerated allowed most cases, toe-touching reserved highly unstable patterns only. implants routinely removed unless requested by patient, especially avoid additional anaesthetic exposure. Potential complaints include lateral thigh pain, femoral nerve compression, mechanical exercise activities. Level evidence: 5