Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.
Détails
ID Serval
serval:BIB_A1D8314F520A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.
Périodique
Scientific reports
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Statut éditorial
Publié
Date de publication
06/09/2024
Peer-reviewed
Oui
Volume
14
Numéro
1
Pages
20823
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
During the last decades, effective pain reduction and early mobilization were identified as the central priorities in therapy of insufficiency fractures of the pelvis. For operative treatment minimally-invasive stabilization techniques are favored. While there is consensus on the significance of sufficient dorsal stabilization the role of additional fixation of the anterior fracture component stays under discussion. Within the present study we developed an internal ring fixator system (RingFix) with the question whether an in-itself-closed construct can improve stability of the entire ring structure. RingFix was evaluated on an osteoporotic bone model with a standardized FFP IIIc fracture within an established biomechanical setup regarding its primary stabilization potential. Further, it was compared to transiliac-transsacral screw fixation with and without stabilization of the anterior fracture component. The transiliac-transsacral fixation with separate screw fixation of the anterior fracture showed significantly higher stability than the RingFix and the transiliac-transsacral screw fixation without anterior stabilization. Our results show that stabilization of the anterior fracture component relevantly improves the stability of the entire ring construct. As a bridging stabilizer, RingFix shows biomechanical advantages over an isolated dorsal fracture fixation, but inferior results than direct stabilization of the single fracture components.
Mots-clé
Humans, Pelvic Bones/injuries, Pelvic Bones/surgery, Biomechanical Phenomena, Fracture Fixation, Internal/methods, Fracture Fixation, Internal/instrumentation, Bone Screws, Internal Fixators, Fractures, Bone/surgery, Osteoporosis/surgery, Insufficiency fracture, Minimally-invasive fracture fixation, Pelvic ring fracture, Ring fixator
Pubmed
Web of science
Open Access
Oui
Création de la notice
13/09/2024 14:34
Dernière modification de la notice
29/10/2024 7:21