Minimal-invasive Schraubenfixierung des vorderen Beckenrings und des distalen Iliums : Tipps und Tricks für einen erfolgreichen Eingriff [Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium : Tips and tricks to be successful]
Details
Serval ID
serval:BIB_A2FBB5170EBA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Minimal-invasive Schraubenfixierung des vorderen Beckenrings und des distalen Iliums : Tipps und Tricks für einen erfolgreichen Eingriff [Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium : Tips and tricks to be successful]
Journal
Operative Orthopadie und Traumatologie
ISSN
1439-0981 (Electronic)
ISSN-L
0934-6694
Publication state
Published
Issued date
02/2025
Peer-reviewed
Oui
Volume
37
Number
1
Pages
23-33
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
Minimally invasive percutaneous techniques are used to stabilize fractures of the anterior pelvic ring. Stabilization of the fracture facilitates early mobilization and rehabilitation, while percutaneous techniques reduce complications such as infection and bleeding.
Indicated for patients with non- or minimally displaced fractures of the anterior pelvic ring, or if fracture displacement can be reduced using minimally invasive techniques.
Contraindications include infection at the surgical site, anatomical inability to place screws, or patients unfit for surgery due to health risks.
The technique involves the insertion of ante- and retrograde transpubic screws and lateral compression (LC) II screws in supine position. Precise reduction of fractures is achieved using minimally invasive techniques.
In younger patients, partial weight bearing for 6 weeks is recommended, with full weight bearing in older patients.
Literature reports a high union rate of up to 95% for these procedures, with low rates of nonunion and infection (around 2%). Screw loosening or loss of reduction occurs in 8-18% of cases, with better outcomes using bicortical screws.
Indicated for patients with non- or minimally displaced fractures of the anterior pelvic ring, or if fracture displacement can be reduced using minimally invasive techniques.
Contraindications include infection at the surgical site, anatomical inability to place screws, or patients unfit for surgery due to health risks.
The technique involves the insertion of ante- and retrograde transpubic screws and lateral compression (LC) II screws in supine position. Precise reduction of fractures is achieved using minimally invasive techniques.
In younger patients, partial weight bearing for 6 weeks is recommended, with full weight bearing in older patients.
Literature reports a high union rate of up to 95% for these procedures, with low rates of nonunion and infection (around 2%). Screw loosening or loss of reduction occurs in 8-18% of cases, with better outcomes using bicortical screws.
Keywords
Humans, Bone Screws, Minimally Invasive Surgical Procedures/methods, Minimally Invasive Surgical Procedures/instrumentation, Pelvic Bones/surgery, Pelvic Bones/injuries, Fracture Fixation, Internal/instrumentation, Fracture Fixation, Internal/methods, Fractures, Bone/surgery, Fractures, Bone/diagnostic imaging, Treatment Outcome, Ilium/surgery, Male, Female, Complications, Fragility fractures of the pelvis, Minimally invasive screw osteosynthesis, Pelvic fracture, Pubic ramus
Pubmed
Web of science
Create date
08/01/2025 15:54
Last modification date
15/02/2025 10:48
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