• Der Unfallchirurg · Nov 2019

    [Three-point buttressing with internal fixator for minimally invasive stabilization of the anterior pelvic ring : Operative technique and first clinical results].

    • S Nuber, D Ovalle, S Förch, J Plath, M Nuber, and E Mayr.
    • Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland. stefan.nuber@klinikum-augsburg.de.
    • Unfallchirurg. 2019 Nov 1; 122 (11): 870-879.

    BackgroundThe changing age distribution in society inevitably leads to a percentage increase in osteoporotic and fatigue fractures as well as the absolute number of insufficiency fractures of the pelvic ring. Due to pain these fractures lead to a loss of mobility and autonomy. To prevent these consequences surgical treatment is increasingly being performed.ObjectiveThis article presents a new configuration of an internal fixator on the anterior pelvic ring, the principle of which correlates to a three-point buttressing.MethodsIn addition to a description of the configuration of the internal fixator on the anterior pelvic ring and the surgical technique, the article presents the results after the first 23 applications.ResultsThe first results after application of the new internal fixator on the pelvic ring show a low risk, sufficient and minimally invasive stabilization with an encouraging clinical and radiological outcome.ConclusionMissing long-term results, also taking into account a higher number of patients, as well as the biomechanical examination of the presented fixator configuration still have to be evaluated.

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