Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study
The incidence of fragility fractures of the pelvis (FFPs) is currently rising. Surgical treatment, which is performed using sacroiliac screws, is complicated by compromised bone quality, oftentimes resulting in implant failure. The iFuse implant system aims to improve attachment and durability with...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/16/5199 |
| _version_ | 1797584335796174848 |
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| author | Luca Lebert Alexander Martin Keppler Jan Bruder Leon Faust Christopher Alexander Becker Wolfgang Böcker Carl Neuerburg Adrian Cavalcanti Kußmaul |
| author_facet | Luca Lebert Alexander Martin Keppler Jan Bruder Leon Faust Christopher Alexander Becker Wolfgang Böcker Carl Neuerburg Adrian Cavalcanti Kußmaul |
| author_sort | Luca Lebert |
| collection | DOAJ |
| description | The incidence of fragility fractures of the pelvis (FFPs) is currently rising. Surgical treatment, which is performed using sacroiliac screws, is complicated by compromised bone quality, oftentimes resulting in implant failure. The iFuse implant system aims to improve attachment and durability with promising results for sacroiliac dysfunction, though data for its feasibility on FFPs are rare. Consequently, this study aims to evaluate the feasibility of the iFuse for FFPs. A total of 10 patients with FFPs were treated with the iFuse in this study. Pre- and postoperatively, both mobility using an established insole force sensor for an inpatient gait analysis and general well-being and pain using questionnaires were evaluated. When comparing pre- and postoperative findings, this study demonstrated a significant increase in the average (8.14%) and maximum (9.4%) loading (<i>p</i> < 0.001), a reduction in pain, as measured by the visual analog scale (VAS), from 4.60 to 2.80 at rest (<i>p</i> = 0.011) and from 7.00 to 4.40 during movement (<i>p</i> = 0.008), an increase in the Barthel Index by 20 points (<i>p</i> < 0.001) and an increase in the Parker Mobility Score by 2.00 points (<i>p</i> = 0.011). All this contributes to the possibility of early postoperative mobilization and improved general well-being, ultimately preventing the late consequences of postoperative immobilization and maintaining patients autonomy and contentment. |
| first_indexed | 2024-03-10T23:50:25Z |
| format | Article |
| id | doaj.art-618cd3a100774f50bcbe713a2a897e01 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:50:25Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-618cd3a100774f50bcbe713a2a897e012023-11-19T01:39:23ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216519910.3390/jcm12165199Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept StudyLuca Lebert0Alexander Martin Keppler1Jan Bruder2Leon Faust3Christopher Alexander Becker4Wolfgang Böcker5Carl Neuerburg6Adrian Cavalcanti Kußmaul7Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Marchioninistraße 15, 81377 Munich, GermanyThe incidence of fragility fractures of the pelvis (FFPs) is currently rising. Surgical treatment, which is performed using sacroiliac screws, is complicated by compromised bone quality, oftentimes resulting in implant failure. The iFuse implant system aims to improve attachment and durability with promising results for sacroiliac dysfunction, though data for its feasibility on FFPs are rare. Consequently, this study aims to evaluate the feasibility of the iFuse for FFPs. A total of 10 patients with FFPs were treated with the iFuse in this study. Pre- and postoperatively, both mobility using an established insole force sensor for an inpatient gait analysis and general well-being and pain using questionnaires were evaluated. When comparing pre- and postoperative findings, this study demonstrated a significant increase in the average (8.14%) and maximum (9.4%) loading (<i>p</i> < 0.001), a reduction in pain, as measured by the visual analog scale (VAS), from 4.60 to 2.80 at rest (<i>p</i> = 0.011) and from 7.00 to 4.40 during movement (<i>p</i> = 0.008), an increase in the Barthel Index by 20 points (<i>p</i> < 0.001) and an increase in the Parker Mobility Score by 2.00 points (<i>p</i> = 0.011). All this contributes to the possibility of early postoperative mobilization and improved general well-being, ultimately preventing the late consequences of postoperative immobilization and maintaining patients autonomy and contentment.https://www.mdpi.com/2077-0383/12/16/5199fragility fractures of the pelvisorthogeriatricsacral fracturestrauma surgeryiFuse Implant System<sup>®</sup> |
| spellingShingle | Luca Lebert Alexander Martin Keppler Jan Bruder Leon Faust Christopher Alexander Becker Wolfgang Böcker Carl Neuerburg Adrian Cavalcanti Kußmaul Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study Journal of Clinical Medicine fragility fractures of the pelvis orthogeriatric sacral fractures trauma surgery iFuse Implant System<sup>®</sup> |
| title | Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study |
| title_full | Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study |
| title_fullStr | Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study |
| title_full_unstemmed | Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study |
| title_short | Evaluation of a New Treatment Strategy for Geriatric Fragility Fractures of the Posterior Pelvic Ring Using Sensor-Supported Insoles: A Proof-of-Concept Study |
| title_sort | evaluation of a new treatment strategy for geriatric fragility fractures of the posterior pelvic ring using sensor supported insoles a proof of concept study |
| topic | fragility fractures of the pelvis orthogeriatric sacral fractures trauma surgery iFuse Implant System<sup>®</sup> |
| url | https://www.mdpi.com/2077-0383/12/16/5199 |
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