Stabilization of a Type B1.1 Injury in a Morbidly Obese Patient Using an Internal Fixator in a Minimally Invasive Technique: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
Historique:
pubmed:
31
8
2019
medline:
17
6
2020
entrez:
31
8
2019
Statut:
ppublish
Résumé
In this case report, we present a novel stabilization technique of the pubic symphysis using an internal spinal fixator in a 78-year-old morbidly obese woman having a pelvic disruption type B1.1 (AO classification). We treated the disruption using an internal fixator to reduce the extent of the incision and soft-tissue damage. The use of an internal fixator, known from percutaneous spinal fixation, for the stabilization of the pubic symphysis in cases of disruption ("open book" injuries) may be an alternative to the standard plate fixation as a novel minimally invasive stabilization technique.
Identifiants
pubmed: 31469666
doi: 10.2106/JBJS.CC.18.00075
pii: 01709767-201909000-00029
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0075Références
Lázaro Gonzálvez L, Martínez Reina J, Cano Luis P, Jiménez Baquero J, Sueiro Fernández J, Giráldez Sánchez MA. Is cannulated-screw fixation an alternative to plate osteosyntheses in open book fractures? A biomechanical analysis. Injury. 2016;47(suppl 3):S72-S77.
Eastman JG, Krieg JC, Routt ML Jr. Early failure of symphysis pubis plating. Injury. 2016;47:1707-12.
Tosounidis TH, Sheilch HQ, Kanakaris NK, Giannoudis PK. The use of external fixators in the definitive stabilization of the pelvis in polytrauma patients: safety, effiancy and clinical outcomes. Injury. 2017;48(6):1139-46.
Ojodu I, Pohlemann T, Hopp S, Rollmann MFR, Holstein JH, Herath SC. Predictors of mortality for complex fractures of the pelvic ring in the eldery: a twelve-year review from a German level 1 trauma center. Injury. 2015;46(10):1996-8.
Pizanis A, Garcia P, Santelmann M, Culemann U, Pohlemann T. Reduction and fixation capabilities of different plate designs for pubic symphysis disruption: a biomechanical comparison. Injury. 2013;44(2):183-8.
Grimshaw CS, Bledsoe JG, Moed BR. Locked versus standard unlocked plating of the pubic symphysis: a cadaver biomechanical study. J Orthop Trauma. 2012;26(7):402-6.
Loibl M, Korsun M, Reiss J, Gueorguiev B, Nerlich M, Neumann C, Baumann F. Spinal fracture reduction with a minimal-invasive transpedicular Schanz Screw system: clinical and radiological one-year follow-up. Injury. 2015;46(suppl 4):S75-82.
Osterhoff G, Tiziani S, Hafner C, Ferguson SJ, Simmen HP, Werner CM. Symphyseal internal rod fixation versus standard plate fixation for open book pelvic ring injuries: a biomechanical study. Eur J Trauma Emerg Surg. 2016;42(2):197-202.
Cano-Luis P, Giráldez-Sanchez MA, Martínez-Reina J, Serrano-Escalante FJ, Galleguillos-Rioboo C, Lázaro-Gonzálvez A, García-Rodríguez J, Navarro A. Biomechanical analysis of a new minimally invasive system for osteosynthesis of pubis symphysis disruption. Injury. 2012;43(suppl 2):S20-7.
Stuby FM, Doebele S, Agarwal Y, Windolf M, Gueorguiev B, Ochs BG. Influence of flexible fixation for open book injury after pelvic trauma—a biomechanical study. Clin Biomech (Bristol, Avon). 2014;29(6):657-63.
Fang C, Alabdulrahman H, Pape HC. Complications after percutaneous internal fixator for anterior pelvic ring injuries. Int Orthop. 2017;41(9):1785-90.
Gardner MJ, Mehta S, Mirza A, Ricci WA. Anterior pelvic reduction and fixation using a subcutaneous internal fixator. J Orthop Trauma. 2012;26(5):269-77.
Fridman M, Glass AM, Nornha JAP, Carvahal EF, Martini RK. Spontaneous urinary voiding of a metallic implant after operative fixation of the pubic symphysis. J Joint Bone Surg. 2003;85-A(6):1129-32.
Vigdorchig JM, Esquivel AO, Jin X, Yang KH, Onwudiwe NA, Vaidya R. Biomechanical stability of a supra-acetabular pedicle screw internal fixation device (INFIX) vs external fixation and plates for vertically unstable pelvic fractures. J Orthop Surg Res. 2012;7:31.
Hiestermann TG, Hill BW, Cole PA. A percutaneous method of subcutaneous fixation for the anterior pelvic ring–the pelvic Bridge. Clin Orthop Relat Res. 2012;470:2116-23.
Vaidya R, Tonnos F, Nasr K, Kanneganti P, Curtis G. The anterior subcutaneous pelvic fixator (INFIX) in an anterior posterior compression type 3 pelvic fracture. J Orthop Trauma. 2016;30(suppl 2):S21-2.
Cole PA, Dyskin EA, Gilbertson JA. Minimally-invasive fixation for anterior ring disruptions. Injury. 2015;46(suppl 3):S27-34.
Vaidya R, Kubiak EN, Bergin PF, Dombroski DG, Critchlow RJ, Sethi A, Starr AJ. Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study. Clin Orthop Relat Res. 2012;470:2124-31.
Raman R, Roberts CS, Pape HC, Giannoudis PV. Implant retention and removal after internal fixation of the symphysis pubis. Injury. 2005;36(7):827-31.
Eagan M, Kim H, Manson TT, Gary JL, Russell JP, Hsieh AH, O'Toole RV, Boulton CL. Internal anterior fixators for pelvic ring injuries: do monoaxial pedicle screws provide more stiffness than polyaxial pedicle screws? Injury. 2015;46:996-1000.
Hesse D, Kandmir U, Solberg B, Stroh A, Osgood G, Sems SA, Collinge CA. Femoral nerve palsy after pelvic fracture treated with INFIX: a case series. J Orthop Trauma. 2015;29(3):138-43.
Braun BJ, Bushuven E, Hell R, Veith NT, Buschbaum J, Holstein JH, Pohlemann T. A novel tool for continuous fracture aftercare–clinical feasibility and first results of a new telemetric gait analysis insole. Injury. 2016;47(2):490-4.