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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...

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Autores principales: Gerich, Torsten, Soliman, Ahmed, Kelm, Jens, Maas, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713337/
https://www.ncbi.nlm.nih.gov/pubmed/36465140
http://dx.doi.org/10.1016/j.tcr.2022.100740
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author Gerich, Torsten
Soliman, Ahmed
Kelm, Jens
Maas, Stefan
author_facet Gerich, Torsten
Soliman, Ahmed
Kelm, Jens
Maas, Stefan
author_sort Gerich, Torsten
collection PubMed
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.
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spelling pubmed-97133372022-12-02 The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis Gerich, Torsten Soliman, Ahmed Kelm, Jens Maas, Stefan Trauma Case Rep Articles from the Special issue on Fragility Fractures of the Pelvis (FFP): Current Trends of Reconstruction; Edited by Pol Maria Rommens and Peter Giannoudis 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. Elsevier 2022-11-28 /pmc/articles/PMC9713337/ /pubmed/36465140 http://dx.doi.org/10.1016/j.tcr.2022.100740 Text en © 2022 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Articles from the Special issue on Fragility Fractures of the Pelvis (FFP): Current Trends of Reconstruction; Edited by Pol Maria Rommens and Peter Giannoudis
Gerich, Torsten
Soliman, Ahmed
Kelm, Jens
Maas, Stefan
The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis
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 Articles from the Special issue on Fragility Fractures of the Pelvis (FFP): Current Trends of Reconstruction; Edited by Pol Maria Rommens and Peter Giannoudis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713337/
https://www.ncbi.nlm.nih.gov/pubmed/36465140
http://dx.doi.org/10.1016/j.tcr.2022.100740
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