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- J Wilke and D Pennig.
- Klinik für Unfall- und Wiederherstellungschirurgie, Handchirurgie und Orthopädie, St.-Vinzenz Hospital Köln, Merheimer Straße 221-223, 50733, Köln, Deutschland. jan.wilke@cellitinnen.de.
- Unfallchirurg. 2019 Aug 1; 122 (8): 612-617.
AbstractThe number of low energy traumas in older people with subsequent pelvic ring fractures is increasing in contrast to high energy traumas with pelvic injury in younger people. Geriatric pelvic fractures can be treated conservatively with analgesics and physiotherapy-assisted mobilization, depending on the symptoms. If physical complaints do not allow adequate mobilization, surgical stabilization is indicated. It is often possible to stabilize the dorsal pelvic ring with transiliosacral screws. If additional instability associated with anterior pelvic ring complaints is prevalent, stabilization of the anterior ring can be achieved by invasive osteosynthesis using a plate or percutaneously by implanting an intramedullary plastic polymer.
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