Geschlossene Reposition und minimal-invasive Fixation einer sakralen Ausbruchfraktur

Klauke, Friederike; Hofmann, Gunther O.; Mendel, Thomas

doi:10.1007/s00113-021-01035-1

Cited by 2 publications

(3 citation statements)

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“…Severe skin complications and wound infections with need for operative revision range between 4 and 50% [ 40 – 44 ]. Patients with a combination of procedures (e.g., SPS and TSB) showed significantly better stability of the osteosynthesis and a better rehabilitation outcome [ 6 , 19 , 22 , 40 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

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Minimally invasive bilateral fixed angle locking fixation of the dorsal pelvic ring: clinical proof of concept and preliminary treatment results

Marintschev

Hofmann

2023

Eur J Trauma Emerg Surg

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Purpose Dorsal pelvic ring fractures may result from high energy trauma in younger patients or from osteoporosis as fragility fractures in elderly patients. To date, no strong consensus exists on the best surgical technique to treat posterior pelvic ring injuries. The aim of this study was to evaluate the surgical performance of a new implant for angle-stable fixation of the posterior pelvic ring and patient outcome. Methods In a prospective pilot study, 27 patients (age: 39–87 years) with posterior pelvic ring fractures classified according to the AO classification (n = 5) or to the fragility fractures of the pelvis (FFP) classification (n = 22) were treated using the new implant. During a follow-up period of 1 year, surgical parameters of the implantation technique, complication rate, morbidity, mortality, preservation of patient mobility, and social independence were evaluated. Results No implant misplacement or failure was observed. Two patients developed symptomatic spinal canal stenosis at L4/L5 following mobilization. MRI diagnosis proved the implant was not responsible for the symptoms. In one case, an additional plate stabilization of a pubic ramus fracture was necessary 6 months later. There was no inpatient mortality. One patient died due to her underlying oncological disease within the first 3 months. The main outcome parameters were pain, mobility, preservation of independent living and employment. Conclusion Operative instrumentation of dorsal pelvic ring fractures should be stable enough to allow for immediate weight bearing. The new locking nail implant offers percutaneous reduction and fixation options and may decrease the generally observed rate of complications. Trail registration German Clinical Trials Register ID: DRKS00023797, date of registration: 07.12.2020.

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Section: Discussionmentioning

confidence: 99%

“…Fracture reduction was performed prior to implantation in a closed technique whenever possible [ 6 ]. For anatomical reduction and temporary retention, K-wires or reduction forceps may be used.…”

Section: Patients Materials and Methodsmentioning

confidence: 99%

Minimally invasive bilateral fixed angle locking fixation of the dorsal pelvic ring: clinical proof of concept and preliminary treatment results

Marintschev

Hofmann

2023

Eur J Trauma Emerg Surg

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“…Nevertheless, traditional open reduction surgery leads to high incidence of complications, which seriously 5 Computational and Mathematical Methods in Medicine affects the postoperative recovery of patients. The minimally invasive approach technique is widely applied in clinical practice [17,18].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach

Xiao

Xin

et al. 2022

Computational and Mathematical Methods in Medicine

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To discuss the values of two bone axial X-ray image-based minimally invasive approach surgeries in the diagnosis and treatment of fracture of the calcaneus, 80 patients diagnosed with fracture of the calcaneus by bone axial X-ray examination were selected and divided equally into the minimally invasive longitudinal approach (MILA) group (40 cases) and the sinus tarsal approach (STA) group (40 cases). Besides, the duration of operation, the incidence of complications, the time-to-start weight training, and the American Orthopaedic Foot and Ankle Society (AOFAS) foot function scoring system between the patients in the two groups were compared. The results showed that the duration of operation and incidence of complications among the patients in the MILA group ( 42.87 ± 5.12 minutes, 20%) were both superior to those among the patients in the STA group ( 60.43 ± 7.31 minutes, 32.5%). The time-to-start weight training in the MILA group was 5.2 weeks, which was obviously shorter than that in the STA group (5.7 weeks). The difference in AOFAS scores between the two groups was not significant. The walking pavement score in the MILA group ( 4.2 ± 0.37 points) was slightly higher than that in the STA group ( 3.3 ± 0.45 points), and the differences demonstrated statistical meaning ( P < 0.05 ). To sum up, the bone axial X-ray image is an essential examination method of diagnosing fracture of the calcaneus. The two minimally invasive methods both showed good clinical therapeutic effects. The operation of MILA was relatively shorter with fewer complications and is worthy of being promoted as an effective treatment method of fracture of the calcaneus.

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Geschlossene Reposition und minimal-invasive Fixation einer sakralen Ausbruchfraktur

Cited by 2 publications

References 20 publications

Minimally invasive bilateral fixed angle locking fixation of the dorsal pelvic ring: clinical proof of concept and preliminary treatment results

Minimally invasive bilateral fixed angle locking fixation of the dorsal pelvic ring: clinical proof of concept and preliminary treatment results

Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach

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