Der einfache supraazetabuläre Fixateur externe für die Behandlung von Beckenfrakturen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-08

AUTHORS

Axel Gänsslen, Tim Pohlemann, Christian Krettek

ABSTRACT

ObjectiveClosed reduction and maintenance of pelvic ring injuries by external stabilization.IndicationsEmergency management of unstable type B and type C pelvic ring fractures.Definitive treatment of type B injuries.Definitive treatment of the anterior pelvic ring in type C injuries with transpubic instability after posterior internal stabilization.Adjunct stabilization of internal fixation.Stabilization of pelvic ring fractures in children.ContraindicationsPoor general condition.Local soft-tissue damage.Local infection.Surgical TechniqueBilateral percutaneous insertion of Schanz screws into the supraacetabular area of iliac bone. Closed reduction and stabilization of the pelvic ring by compression and application of a connecting rod under image intensification.Postoperative ManagementDepending on the patient’s condition and the degree of pelvic instability, a change to an open procedure may become necessary.Mobilization of the patient with partial weight bearing (one fifth of body weight) on the side of the injured posterior pelvic ring using forearm crutches, irrespective of the degree of stability of the pelvis.ResultsRetrospective analysis of 64 supraacetabular external fixator applications to stabilize the anterior pelvic ring in 20 type B and 44 type C injuries.Iatrogenic lesions of the lateral femoral cutaneous nerve: 4.5%; all sensory disturbances completely reversed within 1 year. No pin site infection. In two patients (3%) primary perforation of the Schanz screw into the small pelvis not necessitating any treatment.No secondary displacements of the anterior or posterior pelvic ring in type B injuries nor for type C injuries, sacral fractures associated with fractures of the pubic ramus. One pseudarthrosis of the pubic and ischial rami requiring surgical treatment. More... »

PAGES

296-312

References to SciGraph publications

  • 1999-06. Die Operation der Symphysen-sprengung in OPERATIVE ORTHOPÄDIE UND TRAUMATOLOGIE
  • 1984. Indikationen und Ergebnisse bei der Anwendung des Fixateur externe zur Versorgung von Beckenbrüchen und -verrenkungen in 46. JAHRESTAGUNG DER DEUTSCHEN GESELLSCHAFT FÜR UNFALLHEILKUNDE E.V.
  • 1988. Eine technische Variante des geschlossenen Fixateur externe am Becken — Zugang, Technik und Resultate in 5. DEUTSCH-ÖSTERREICHISCH-SCHWEIZERISCHE UNFALLTAGUNG IN BERLIN
  • 1997-09. An anatomic study of the lateral femoral cutaneous nerve in SURGICAL AND RADIOLOGIC ANATOMY
  • 1998-08. Management priorities in patients with polytrauma in LANGENBECK'S ARCHIVES OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00064-005-1134-2

    DOI

    http://dx.doi.org/10.1007/s00064-005-1134-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1010453573

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/16132252


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