Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.

Details

Serval ID
serval:BIB_A1D8314F520A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.
Journal
Scientific reports
Author(s)
Arand C., Hartung C., Mehler D., Gercek E., Wollstädter J., Wagner D., Rommens P.M.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
06/09/2024
Peer-reviewed
Oui
Volume
14
Number
1
Pages
20823
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
Keywords
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
Yes
Create date
13/09/2024 14:34
Last modification date
29/10/2024 7:21
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