Article (Scientific journals)
The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis
Gerich, Torsten; Soliman, Ahmed Abdelsalam Mohamed; Kelm, Jens et al.
2022In Trauma Case Reports, 42
Peer reviewed
 

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Keywords :
Pelvic fragility fracture; Anterior pelvic ring fracture; Biomechanics
Abstract :
[en] Introduction: Anterior pelvic ring fractures are common in geriatric patients. Current treatment algorithms recommend osteosynthesis if no pain free mobilisation is possible. For this a multitude of surgical techniques have been described. Among these the Supraacetabular External Fixator (SEF) is regarded a simple and effective surgical procedure. However, this technique is associated with significant drawbacks. Alternatively, there is the option of an internal fixator or a formal plate osteosynthesis. It is the objective of this case report to present the Subcutaneous Iliopubic Plate (SIP) in a fragility fracture of the anterior and posterior pelvic ring. Case report: An 83-year-old female patient sustained a fracture of the anterior pelvic ring, the lateral sacrum and the medial femoral neck. After initially refusing any surgery, the patient agreed to have the endoprosthesis implanted first, and then secondarily to dorsoventral osteosynthesis of the pelvis. Dorsally a transiliosacral screw osteosynthesis was performed. Anteriorly a bilateral subcutaneous iliopubic plate-osteosynthesis was chosen, a plate position that is anterior to the aponeurosis. Conclusions: The subcutaneous plate has proven to be a quick and uncomplicated surgical procedure that is significantly better tolerated by patients than external stabilization.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Gerich, Torsten;  Centre Hospitalier de Luxembourg, Service de Traumatologie, 4 rue Ernest Barbl´e, Luxembourg L-1210, Luxembourg
Soliman, Ahmed Abdelsalam Mohamed ;  University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Engineering (DoE)
Kelm, Jens;  Chirurgisch-Orthopädisches Zentrum, Illingen, Deutschland
Maas, Stefan ;  University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Engineering (DoE)
External co-authors :
yes
Language :
English
Title :
The role of the bilateral subcutaneous plate in the minimal invasive stabilization of fragility fractures of the pelvis
Publication date :
November 2022
Journal title :
Trauma Case Reports
Volume :
42
Peer reviewed :
Peer reviewed
Available on ORBilu :
since 05 January 2023

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