Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium
Tips and tricks to be successful
- 23.12.2024
- Operative Techniken
Erschienen in:
- Verfasst von
- Jocelyn Corbaz
- Michiel Herteleer
- Sylvan Steinmetz
- Charlotte Arand
- Tobias Nowak
- Daniel Wagner
- Erschienen in
- Operative Orthopädie und Traumatologie | Ausgabe 1/2025
Abstract
Objective
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.
Indications
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
Contraindications include infection at the surgical site, anatomical inability to place screws, or patients unfit for surgery due to health risks.
Surgical technique
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.
Postoperative management
In younger patients, partial weight bearing for 6 weeks is recommended, with full weight bearing in older patients.
Results
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.
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- Titel
-
Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium
Tips and tricks to be successful - Verfasst von
-
Jocelyn Corbaz
Michiel Herteleer
Sylvan Steinmetz
Charlotte Arand
Tobias Nowak
Daniel Wagner
- Publikationsdatum
- 23.12.2024
- Verlag
- Springer Medizin
- Erschienen in
-
Operative Orthopädie und Traumatologie / Ausgabe 1/2025
Print ISSN: 0934-6694
Elektronische ISSN: 1439-0981 - DOI
- https://doi.org/10.1007/s00064-024-00887-1
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