Der subkutane ventrale Fixateur interne (SVFI) am Becken

Kuttner, M; Klaiber, A; Lorenz, T; Füchtmeier, Bernd; Neugebauer, R

doi:10.1007/s00113-009-1623-0

Cited by 76 publications

(31 citation statements)

References 21 publications

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“…In contrast to the work of Kuttner et al, surrounding muscle insertions do not need to be mobilised when choosing this entry point [16]. However, great care must be taken to not injure the N. cutaneus femoris lateralis.…”

Section: Resultsmentioning

confidence: 99%

“…Minimally invasive surgical techniques may furthermore be of great advantage concerning complication rates in cases of large pelvic defects, multiple- or comminuted fractures of the anterior pelvic ring, coagulopathies and history of previous hip or abdominal surgery [16]. …”

Section: Resultsmentioning

confidence: 99%

“…Implants previously established in spine surgery are hereby used to construct a fixateur interne [16-18]. The technique has previously been described and has had a multicentre trial already [19].…”

Section: Resultsmentioning

confidence: 99%

“…Indications for this procedure are well described in literature [16-19] and summarized below. Stabilisation of transpubic instability [21].…”

Section: Resultsmentioning

confidence: 99%

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Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures

et al. 2014

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BackgroundFractures of the pelvic ring including disruption of the posterior elements in high-energy trauma have both high morbidity and mortality rates. For some injury pattern part of the initial resuscitation includes either external fixation or plate fixation to close the pelvic ring and decrease blood loss. In certain situations – especially when associated with abdominal trauma and the need to perform laparotomies – both techniques may put the patient at risk of either pintract or deep plate infections. We describe an operative approach to percutaneously close and stabilize the pelvic ring using spinal implants as an internal fixator and report the results in a small series of patients treated with this technique during the resuscitation phase.FindingsFour patients were treated by subcutaneous placement of an internal fixator. Screw fixation was carried out by minimally invasive placement of two supra-acetabular iliac screws. Afterwards, a subcutaneous transfixation rod was inserted and attached to the screws after reduction of the pelvic ring. All patients were allowed to fully weight-bear. No losses of reduction or deep infections occurred. Fracture healing was uneventful in all cases.ConclusionMinimally invasive fixation is an alternative technique to stabilize the pelvic ring. The clinical results illustrate that this technique is able to achieve good results in terms of maintenance of reduction the pelvic ring. Also, abdominal surgeries no longer put the patient at risk of infected pins or plates.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Indications for this procedure are well described in literature [16-19] and summarized below. Stabilisation of transpubic instability [21].…”

Section: Resultsmentioning

confidence: 99%

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Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures

et al. 2014

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“…First reported by Kuttner et al in 2009 [11], INFIX is the pedicle screw–rod fixation specifically used for anterior pelvic ring injuries. It involves two supra-acetabular pedicle screws and a subcutaneous interconnecting rod [2, 5, 6].…”

Section: Discussionmentioning

confidence: 99%

Modified pedicle screw–rod fixation as a minimally invasive treatment for anterior pelvic ring injuries: an initial case series

Wu¹,

Liu²,

Fu³

et al. 2017

J Orthop Surg Res

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BackgroundUnstable pelvic ring injuries often involve high mortality and morbidity. This study was aimed to evaluate the modified minimally invasive pedicle screw–rod fixation for anterior pelvic ring injuries, in the respects of its feasibility, merits, and limitations.MethodsTwenty-three patients with unstable pelvic ring injuries underwent the modified anterior pedicle screw–rod fixation, with or without posterior fixation. The clinical outcomes were assessed using Majeed scores, and the quality of reduction was evaluated according to the criteria of Matta.ResultsMajeed scores showed that the clinical outcomes at postoperatively 1 year were excellent in 14 patients, good in 7, and fair in 2. One woman complained of persistent pain at the pubic tubercle during sexual intercourse. Iatrogenic neuropraxia of the unilateral lateral femoral cutaneous nerve occurred in 3 patients. Unilateral femoral nerve palsy occurred in 1 patient. The reduction was found to be excellent in 12 patients, good in 8, and fair in 3. Heterotopic ossification occurred in 8 patients, all being asymptomatic.ConclusionsThe modified pedicle screw–rod fixation with the minimally invasive technique offered an effective alternative for unstable anterior pelvic ring injuries.

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Computer‐aided pelvic reduction frame for anatomical closed reduction of unstable pelvic fractures

Zhang

Zhao

et al. 2015

Journal Orthopaedic Research

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Traditional closed reductions of unstable pelvic fractures are mainly performed by surgeons using manual manipulation and subjective verification based on intra-operative roentgenography. It is difficult to perform an accurate closed reduction because of a lack of adequate knowledge of the displacement patterns and an inability to apply the reduction in correct direction. Using the concept of the remote center of motion mechanism and computer-aided design software, we developed a pelvic reduction frame for use in anatomical closed reductions of unstable pelvic fractures. With three-dimensional reconstruction technique and the matrix algorithm, the spatial orientation of the displaced hemipelvis can be calculated and deconstructed into several rotational and translational movements that can be completed with the frame. To verify the accuracy of this system, the rotations were repeated 10 times in arbitrary degrees and directions. After the matrix is calculated, the displaced hemipelvis can be reduced to the anatomical position using our frame. The maximum residual translational and rotational displacements were less than 5 mm and 4 degrees, which indicated the accuracy of this system. The maximum average residual translation and rotation were 1.87 mm in Z-axis (ranging: 4.63-0.1 mm) and 1.1 degrees around Y-axis (ranging: 3.81-0.13 degrees), respectively. Only the Z-axial translation showed a statistically significant difference (p < 0.05). In conclusion, the proposed pelvic reduction frame could be a useful tool for the anatomical reduction of unstable pelvic fractures. ß

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Der subkutane ventrale Fixateur interne (SVFI) am Becken

Cited by 76 publications

References 21 publications

Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures

Anterior subcutaneous internal fixation for treatment of unstable pelvic fractures

Modified pedicle screw–rod fixation as a minimally invasive treatment for anterior pelvic ring injuries: an initial case series

Computer‐aided pelvic reduction frame for anatomical closed reduction of unstable pelvic fractures

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