Folia medica Cracoviensia · 2025
The therapeutic and physiotherapeutic benefits of TiFi anastomosis after pelvic fractures.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sówka Justyna, Wodka-Natkaniec Ewa, Pokrowiecki Witold, Plewa Przemysław
Аннотация
BACKGROUND: Pelvic fractures are caused by high-energy trauma, consisting of traffic accidents, falls from heights. They are associated with a high percentage of complications, as well as the need for rapid surgical repair. The least invasive anastomosis for this type of injury is the TiFi method, which shows minimal postoperative complications and the possibility of early rehabilitation and weight-bearing, mobilising patients after surgery.
METHODS: Review of thematically available articles from the last 20 years on TiFi pelvic fracture anastomosis after high-energy trauma and ongoing rehabilitation.
RESULTS: After extraction, 10 articles on the surgical treatment of pelvic fracture with the TiFi method and rehabilitation management were obtained. 100% of the papers indicated a beneficial effect of the applied, minimally invasive anastomosis in restoring pelvic stability. Patients derived therapeutic and physiotherapeutic benefits from TiFi, compared with other applied anastomoses. The articles used defined the study group in the age range of 16-76 years, recommend that rehabilitation should be included as soon as possible after surgery, wheelchair mobility without loading of the lower limbs is acceptable 1 week after surgery, starting loading within 6-8 weeks after surgery. The decision to start loading is dependent on the operator related to the patient's condition and the bone fusion visible on X-ray. The follow-up of patients after TiFi included a minimum of 1 year with extensions up to 3 years.
CONCLUSIONS: More evidence and research is still needed to rigorously determine the timing of safe limb loading and the feasibility of implementing a specific rehabilitation plan in patients following TiFi pelvic fusion. However, the current reports already provide some insight into the need to start patient improvement as soon as possible, with operator decision-making and a period of 6 weeks after surgery as the baseline elements to begin full patient mobilisation.
METHODS: Review of thematically available articles from the last 20 years on TiFi pelvic fracture anastomosis after high-energy trauma and ongoing rehabilitation.
RESULTS: After extraction, 10 articles on the surgical treatment of pelvic fracture with the TiFi method and rehabilitation management were obtained. 100% of the papers indicated a beneficial effect of the applied, minimally invasive anastomosis in restoring pelvic stability. Patients derived therapeutic and physiotherapeutic benefits from TiFi, compared with other applied anastomoses. The articles used defined the study group in the age range of 16-76 years, recommend that rehabilitation should be included as soon as possible after surgery, wheelchair mobility without loading of the lower limbs is acceptable 1 week after surgery, starting loading within 6-8 weeks after surgery. The decision to start loading is dependent on the operator related to the patient's condition and the bone fusion visible on X-ray. The follow-up of patients after TiFi included a minimum of 1 year with extensions up to 3 years.
CONCLUSIONS: More evidence and research is still needed to rigorously determine the timing of safe limb loading and the feasibility of implementing a specific rehabilitation plan in patients following TiFi pelvic fusion. However, the current reports already provide some insight into the need to start patient improvement as soon as possible, with operator decision-making and a period of 6 weeks after surgery as the baseline elements to begin full patient mobilisation.