The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis
Introduction: Anterior pelvic ring fractures are common in geriatric patients. Current treatment algorithms recommend osteosynthesis if no pain free mobilisation is possible. For this a multitude of surgical techniques have been described. Among these the Supraacetabular External Fixator (SEF) is re...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022001364 |
| _version_ | 1811178633643950080 |
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| author | Torsten Gerich Ahmed Soliman Jens Kelm Stefan Maas |
| author_facet | Torsten Gerich Ahmed Soliman Jens Kelm Stefan Maas |
| author_sort | Torsten Gerich |
| collection | DOAJ |
| description | Introduction: Anterior pelvic ring fractures are common in geriatric patients. Current treatment algorithms recommend osteosynthesis if no pain free mobilisation is possible. For this a multitude of surgical techniques have been described. Among these the Supraacetabular External Fixator (SEF) is regarded a simple and effective surgical procedure. However, this technique is associated with significant drawbacks.Alternatively, there is the option of an internal fixator or a formal plate osteosynthesis. It is the objective of this case report to present the Subcutaneous Iliopubic Plate (SIP) in a fragility fracture of the anterior and posterior pelvic ring. Case report: An 83-year-old female patient sustained a fracture of the anterior pelvic ring, the lateral sacrum and the medial femoral neck. After initially refusing any surgery, the patient agreed to have the endoprosthesis implanted first, and then secondarily to dorsoventral osteosynthesis of the pelvis. Dorsally a transiliosacral screw osteosynthesis was performed. Anteriorly a bilateral subcutaneous iliopubic plate-osteosynthesis was chosen, a plate position that is anterior to the aponeurosis. Conclusions: The subcutaneous plate has proven to be a quick and uncomplicated surgical procedure that is significantly better tolerated by patients than external stabilization. |
| first_indexed | 2024-04-11T06:21:51Z |
| format | Article |
| id | doaj.art-7133df87ca704d7d826eb45ec6d46ab6 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-11T06:21:51Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-7133df87ca704d7d826eb45ec6d46ab62022-12-22T04:40:32ZengElsevierTrauma Case Reports2352-64402022-12-0142100740The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvisTorsten Gerich0Ahmed Soliman1Jens Kelm2Stefan Maas3Centre Hospitalier de Luxembourg, Service de Traumatologie, 4 rue Ernest Barblé, Luxembourg L-1210, Luxembourg; Corresponding author.Department of Engineering, Campus Kirchberg, Université du Luxembourg, 6, rue Richard Coudenhove-Kalergi, Luxembourg L-1359, LuxembourgChirurgisch-Orthopädisches Zentrum, Rathausstr 2, 66557 Illingen, Saar, GermanyDepartment of Engineering, Campus Kirchberg, Université du Luxembourg, 6, rue Richard Coudenhove-Kalergi, Luxembourg L-1359, LuxembourgIntroduction: Anterior pelvic ring fractures are common in geriatric patients. Current treatment algorithms recommend osteosynthesis if no pain free mobilisation is possible. For this a multitude of surgical techniques have been described. Among these the Supraacetabular External Fixator (SEF) is regarded a simple and effective surgical procedure. However, this technique is associated with significant drawbacks.Alternatively, there is the option of an internal fixator or a formal plate osteosynthesis. It is the objective of this case report to present the Subcutaneous Iliopubic Plate (SIP) in a fragility fracture of the anterior and posterior pelvic ring. Case report: An 83-year-old female patient sustained a fracture of the anterior pelvic ring, the lateral sacrum and the medial femoral neck. After initially refusing any surgery, the patient agreed to have the endoprosthesis implanted first, and then secondarily to dorsoventral osteosynthesis of the pelvis. Dorsally a transiliosacral screw osteosynthesis was performed. Anteriorly a bilateral subcutaneous iliopubic plate-osteosynthesis was chosen, a plate position that is anterior to the aponeurosis. Conclusions: The subcutaneous plate has proven to be a quick and uncomplicated surgical procedure that is significantly better tolerated by patients than external stabilization.http://www.sciencedirect.com/science/article/pii/S2352644022001364Pelvic fragility fractureAnterior pelvic ring fractureBiomechanicsExperimental test-benchPelvic stabilization |
| spellingShingle | Torsten Gerich Ahmed Soliman Jens Kelm Stefan Maas The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis Trauma Case Reports Pelvic fragility fracture Anterior pelvic ring fracture Biomechanics Experimental test-bench Pelvic stabilization |
| title | The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| title_full | The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| title_fullStr | The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| title_full_unstemmed | The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| title_short | The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| title_sort | role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis |
| topic | Pelvic fragility fracture Anterior pelvic ring fracture Biomechanics Experimental test-bench Pelvic stabilization |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022001364 |
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