[Three-point buttressing with internal fixator for minimally invasive stabilization of the anterior pelvic ring : Operative technique and first clinical results].

Die Dreipunktabstützung mittels Fixateur interne zur minimalinvasiven Stabilisierung des vorderen Beckenrings : Operative Technik und erste klinische Ergebnisse.

Journal

Der Unfallchirurg
ISSN: 1433-044X
Titre abrégé: Unfallchirurg
Pays: Germany
ID NLM: 8502736

Informations de publication

Date de publication:
Nov 2019
Historique:
pubmed: 9 1 2019
medline: 4 12 2019
entrez: 9 1 2019
Statut: ppublish

Résumé

The changing age distribution in society inevitably leads to a percentage increase in osteoporotic and fatigue fractures as well as the absolute number of insufficiency fractures of the pelvic ring. Due to pain these fractures lead to a loss of mobility and autonomy. To prevent these consequences surgical treatment is increasingly being performed. This article presents a new configuration of an internal fixator on the anterior pelvic ring, the principle of which correlates to a three-point buttressing. In addition to a description of the configuration of the internal fixator on the anterior pelvic ring and the surgical technique, the article presents the results after the first 23 applications. The first results after application of the new internal fixator on the pelvic ring show a low risk, sufficient and minimally invasive stabilization with an encouraging clinical and radiological outcome. Missing long-term results, also taking into account a higher number of patients, as well as the biomechanical examination of the presented fixator configuration still have to be evaluated.

Sections du résumé

BACKGROUND BACKGROUND
The changing age distribution in society inevitably leads to a percentage increase in osteoporotic and fatigue fractures as well as the absolute number of insufficiency fractures of the pelvic ring. Due to pain these fractures lead to a loss of mobility and autonomy. To prevent these consequences surgical treatment is increasingly being performed.
OBJECTIVE OBJECTIVE
This article presents a new configuration of an internal fixator on the anterior pelvic ring, the principle of which correlates to a three-point buttressing.
METHODS METHODS
In addition to a description of the configuration of the internal fixator on the anterior pelvic ring and the surgical technique, the article presents the results after the first 23 applications.
RESULTS RESULTS
The first results after application of the new internal fixator on the pelvic ring show a low risk, sufficient and minimally invasive stabilization with an encouraging clinical and radiological outcome.
CONCLUSION CONCLUSIONS
Missing long-term results, also taking into account a higher number of patients, as well as the biomechanical examination of the presented fixator configuration still have to be evaluated.

Identifiants

pubmed: 30617539
doi: 10.1007/s00113-018-0599-z
pii: 10.1007/s00113-018-0599-z
doi:

Types de publication

Journal Article

Langues

ger

Sous-ensembles de citation

IM

Pagination

870-879

Références

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pubmed: 19603216
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pubmed: 20373068
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pubmed: 22048189
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pubmed: 23017093
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pubmed: 27169851
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pubmed: 23871193
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pubmed: 22219004
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pubmed: 24606833
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pubmed: 27659308
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pubmed: 21800137

Auteurs

S Nuber (S)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland. stefan.nuber@klinikum-augsburg.de.

D Ovalle (D)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

S Förch (S)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

J Plath (J)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

M Nuber (M)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

E Mayr (E)

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

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