[Triangular minimally invasive spinopelvic stabilization for type C pelvic fractures according to AO/OTA and type IV according to FFP]. / Trianguläre minimal-invasive spinopelvine Stabilisierung bei Beckenfrakturen Typ C nach der Klassifikation der Arbeitsgemeinschaft für Osteosynthesefragen (AO/OTA) und Typ IV nach den Fragilitätsfrakturen (FFP).
Unfallchirurg
; 124(11): 923-930, 2021 Nov.
Article
em De
| MEDLINE
| ID: mdl-33438164
ABSTRACT
INTRODUCTION:
Spinopelvic instability is common in type IV fragility fractures of the pelvic ring (FFP) and type C traumatic pelvic fractures. This results in the indications for operative stabilization using a spinopelvic support. Due to the variety of surgical techniques for spinopelvic support it is unclear what importance a minimally invasive spinopelvic screw-rod osteosynthesis can have. MATERIAL ANDMETHODS:
In the retrospective clinical study over a period of 2 years, 23 patients (median age 67 years, 5â¯male and 18 female) with unstable pelvic fractures (FFP type IV nâ¯= 12, AO/OTA type C nâ¯= 11) treated by triangular minimally invasive spinopelvic stabilization (TMSS) were included in the study. The patient data were examined with respect to the parameters gender, age, fracture morphology, intraoperative blood loss, operating time, postoperative infection, postoperative reduction result in the computed tomography (CT) imaging and screw loosening.RESULTS:
The average age of the 11 type C fractures was 43 years and that of the 12 FFP type IV fractures was 80 years. The follow-up period was on average 12.2 months. The average operation time was 67â¯min, the blood loss was 70â¯ml, there were 2 postoperative infections and 4 cases of screw loosening. The reduction according to Matta was <â¯4â¯mm for all FFP and between 4-20â¯mm for traumatic pelvic fractures. Symptomatic pseudarthroses occurred in 3 cases.CONCLUSION:
The triangular minimally invasive spinopelvic stabilization (TMSS) showed a stable and sufficient treatment of the type IV fragility fractures and in the slightly displaced type C traumatic pelvic fractures. Coarse fracture dislocations limit the procedure.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ossos Pélvicos
/
Fraturas Ósseas
Tipo de estudo:
Observational_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
De
Revista:
Unfallchirurg
Assunto da revista:
TRAUMATOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article