Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss)
Introduction: A photodynamic bone stabilization system (PBSS) is a percutaneous operating method that provides intramedullary stabilization. The purpose of the study was to assess the clinical and radiological outcome after treatment of pubic ramus fractures with the PBSS. Materials and Methods: In...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-05-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151459318824904 |
| _version_ | 1819226464978993152 |
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| author | Stavros Oikonomidis MD Ahmad Alabsi MD Ghazi Ashqar MD Markus Graf MD Rolf Sobottke MD |
| author_facet | Stavros Oikonomidis MD Ahmad Alabsi MD Ghazi Ashqar MD Markus Graf MD Rolf Sobottke MD |
| author_sort | Stavros Oikonomidis MD |
| collection | DOAJ |
| description | Introduction: A photodynamic bone stabilization system (PBSS) is a percutaneous operating method that provides intramedullary stabilization. The purpose of the study was to assess the clinical and radiological outcome after treatment of pubic ramus fractures with the PBSS. Materials and Methods: In a retrospective study, patients with osteoporotic pubic ramus fractures were included. The patients were treated with the PBSS in a percutaneous method. In the routine follow-up examination, pain was measured with the visual analog scale (VAS) and the type of mobilization was verified. Computer tomography of the pelvis was carried out in the follow-up examination (mean of 7.5 months after surgery) to investigate bone healing. Results: A total of 32 patients (25 females and 7 males) were included in the study. The average hospital stay was 16.5 ± 7.9 days (range: 5-37 days) and the mean operation time was 116.8 ± 47.1 minutes (range: 33-255 minutes). Two cases of wound infections and 1 case of misplacement of the PBSS implant with revision surgery have been documented. The mean VAS score for pelvic/hip pain at the day of inpatient discharge was 4.4 ± 1.4 (range: 2-7). A total of 25 patients could attend the follow-up examination 7.5 ± 1.7 months (range: 6-14) after the procedure, reporting a mean VAS for pelvic/hip pain of 3.0 ± 2.2 (range: 0-8). A total of 11 patients could walk without an orthopedic walking device, 7 patients needed underarm crutches, 6 patients used a walker-rollator, and 1 patient was immobilized. Consolidated pubis ramus fractures were described in 24 (96%) cases. Discussion: The results of our study reveal adequate clinical and radiological outcomes after treatment of osteoporotic pubic ramus fractures with the PBSS. This is the first study investigating the outcome after treating pubic ramus fractures with the PBSS. Conclusion: Based on our findings, the PBSS is an alternative to known techniques for the stabilization of the pubic ramus. |
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| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-12-23T10:25:55Z |
| publishDate | 2019-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-2e4e7b3cf3aa4be4b1c9869e2d65ea062022-12-21T17:50:33ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932019-05-011010.1177/2151459318824904Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss)Stavros Oikonomidis MD0Ahmad Alabsi MD1Ghazi Ashqar MD2Markus Graf MD3Rolf Sobottke MD4 Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Cologne, Germany Department of Orthopaedics and Trauma Surgery, Rhein-Mass Klinikum, Wuerselen, Germany Department of Orthopaedics and Trauma Surgery, Rhein-Mass Klinikum, Wuerselen, Germany Department of Orthopaedics and Trauma Surgery, Rhein-Mass Klinikum, Wuerselen, Germany Department of Orthopaedics and Trauma Surgery, University Hospital Cologne, Cologne, GermanyIntroduction: A photodynamic bone stabilization system (PBSS) is a percutaneous operating method that provides intramedullary stabilization. The purpose of the study was to assess the clinical and radiological outcome after treatment of pubic ramus fractures with the PBSS. Materials and Methods: In a retrospective study, patients with osteoporotic pubic ramus fractures were included. The patients were treated with the PBSS in a percutaneous method. In the routine follow-up examination, pain was measured with the visual analog scale (VAS) and the type of mobilization was verified. Computer tomography of the pelvis was carried out in the follow-up examination (mean of 7.5 months after surgery) to investigate bone healing. Results: A total of 32 patients (25 females and 7 males) were included in the study. The average hospital stay was 16.5 ± 7.9 days (range: 5-37 days) and the mean operation time was 116.8 ± 47.1 minutes (range: 33-255 minutes). Two cases of wound infections and 1 case of misplacement of the PBSS implant with revision surgery have been documented. The mean VAS score for pelvic/hip pain at the day of inpatient discharge was 4.4 ± 1.4 (range: 2-7). A total of 25 patients could attend the follow-up examination 7.5 ± 1.7 months (range: 6-14) after the procedure, reporting a mean VAS for pelvic/hip pain of 3.0 ± 2.2 (range: 0-8). A total of 11 patients could walk without an orthopedic walking device, 7 patients needed underarm crutches, 6 patients used a walker-rollator, and 1 patient was immobilized. Consolidated pubis ramus fractures were described in 24 (96%) cases. Discussion: The results of our study reveal adequate clinical and radiological outcomes after treatment of osteoporotic pubic ramus fractures with the PBSS. This is the first study investigating the outcome after treating pubic ramus fractures with the PBSS. Conclusion: Based on our findings, the PBSS is an alternative to known techniques for the stabilization of the pubic ramus.https://doi.org/10.1177/2151459318824904 |
| spellingShingle | Stavros Oikonomidis MD Ahmad Alabsi MD Ghazi Ashqar MD Markus Graf MD Rolf Sobottke MD Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) |
| title_full | Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) |
| title_fullStr | Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) |
| title_full_unstemmed | Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) |
| title_short | Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss) |
| title_sort | intramedullary stabilization of pubic ramus fractures in elderly patients with a photodynamic bone stabilization system illuminoss |
| url | https://doi.org/10.1177/2151459318824904 |
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