Sekundär- und Späteingriffe nach Beckenring- und Azetabulumfrakturen View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2007-05

AUTHORS

M. H. Hessmann, P. Ingelfinger, A. Hofmann, P. M. Rommens

ABSTRACT

Secondary or delayed reconstructions following mal- or nonunited fractures of the pelvic ring and acetabulum are challenging procedures. Three different healing problems have to be distinguished: malunion, nonunion, and fractures and/or dislocations that have healed incompletely. Combinations of these three pathologies are also possible. Delayed reconstructions have no chance of success unless the patient’s signs and symptoms are clearly attributable to the malunion or nonunion. This means that extensive clinical and radiological evaluation is mandatory preoperatively. Risks involved and the results that can be expected must be discussed thoroughly with the patient once the surgery has been planned in detail. For the treatment of nonunion or delayed union, the unstable zone must be debrided, and autologous bone grafting with cancellous bone and stable internal fixation are then required. Malunion requires careful mobilization of the malunited fracture fragments, which is often a very demanding procedure. If there is already advanced damage to the acetabulum little functional improvement can be expected after a corrective osteotomy. Viable treatment alternatives are hip fusion and endoprosthetic joint replacement. Possible complications include damage to neurovascular structures, impaired wound healing, infections and implant failure. Extensive experience in the management of acute fractures of the pelvic ring and acetabulum is essential if delayed reconstruction is to be successful. More... »

PAGES

s172-s178

References to SciGraph publications

  • 1996-09-01. Das Management von Beckenpseudarthrosen und Beckenfehlstellungen in DER ORTHOPÄDE
  • 2005-11-26. Trans-sacral fixation for failed posterior fixation of the pelvic ring in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10039-006-1138-7

    DOI

    http://dx.doi.org/10.1007/s10039-006-1138-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1021267696


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Clinical Sciences", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Hessmann", 
            "givenName": "M. H.", 
            "id": "sg:person.01124371277.02", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01124371277.02"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Ingelfinger", 
            "givenName": "P.", 
            "id": "sg:person.01132356644.98", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01132356644.98"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Hofmann", 
            "givenName": "A.", 
            "id": "sg:person.01043506565.56", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01043506565.56"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz", 
              "id": "http://www.grid.ac/institutes/None", 
              "name": [
                "Klinik und Poliklinik f\u00fcr Unfallchirurgie, Johannes-Gutenberg-Universit\u00e4t, Langenbeckstra\u00dfe 1, 55101, Mainz"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Rommens", 
            "givenName": "P. M.", 
            "id": "sg:person.01266436472.61", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01266436472.61"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1007/s00402-005-0069-2", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006816547", 
              "https://doi.org/10.1007/s00402-005-0069-2"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s001320050045", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006273950", 
              "https://doi.org/10.1007/s001320050045"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2007-05", 
        "datePublishedReg": "2007-05-01", 
        "description": "Secondary or delayed reconstructions following mal- or nonunited fractures of the pelvic ring and acetabulum are challenging procedures. Three different healing problems have to be distinguished: malunion, nonunion, and fractures and/or dislocations that have healed incompletely. Combinations of these three pathologies are also possible. Delayed reconstructions have no chance of success unless the patient\u2019s signs and symptoms are clearly attributable to the malunion or nonunion. This means that extensive clinical and radiological evaluation is mandatory preoperatively. Risks involved and the results that can be expected must be discussed thoroughly with the patient once the surgery has been planned in detail. For the treatment of nonunion or delayed union, the unstable zone must be debrided, and autologous bone grafting with cancellous bone and stable internal fixation are then required. Malunion requires careful mobilization of the malunited fracture fragments, which is often a very demanding procedure. If there is already advanced damage to the acetabulum little functional improvement can be expected after a corrective osteotomy. Viable treatment alternatives are hip fusion and endoprosthetic joint replacement. Possible complications include damage to neurovascular structures, impaired wound healing, infections and implant failure. Extensive experience in the management of acute fractures of the pelvic ring and acetabulum is essential if delayed reconstruction is to be successful.", 
        "genre": "article", 
        "id": "sg:pub.10.1007/s10039-006-1138-7", 
        "inLanguage": "en", 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1119246", 
            "issn": [
              "1436-6274", 
              "1436-6282"
            ], 
            "name": "Trauma und Berufskrankheit", 
            "publisher": "Springer Nature", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "Suppl 2", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "9"
          }
        ], 
        "keywords": [
          "pelvic ring", 
          "little functional improvement", 
          "treatment of nonunion", 
          "stable internal fixation", 
          "endoprosthetic joint replacement", 
          "viable treatment alternative", 
          "hip fusion", 
          "acute fractures", 
          "radiological evaluation", 
          "patient's signs", 
          "internal fixation", 
          "healing problems", 
          "functional improvement", 
          "corrective osteotomy", 
          "possible complications", 
          "fracture fragments", 
          "careful mobilization", 
          "advanced damage", 
          "implant failure", 
          "neurovascular structures", 
          "autologous bone", 
          "treatment alternative", 
          "malunion", 
          "nonunion", 
          "demanding procedures", 
          "joint replacement", 
          "wound healing", 
          "cancellous bone", 
          "acetabulum", 
          "fractures", 
          "bone", 
          "signs", 
          "extensive experience", 
          "complications", 
          "surgery", 
          "patients", 
          "symptoms", 
          "osteotomy", 
          "infection", 
          "pathology", 
          "damage", 
          "chances of success", 
          "healing", 
          "treatment", 
          "risk", 
          "reconstruction", 
          "procedure", 
          "failure", 
          "fixation", 
          "mobilization", 
          "MAL", 
          "replacement", 
          "management", 
          "evaluation", 
          "chance", 
          "improvement", 
          "experience", 
          "combination", 
          "fusion", 
          "dislocations", 
          "success", 
          "alternative", 
          "results", 
          "fragments", 
          "Union", 
          "ring", 
          "problem", 
          "detail", 
          "zone", 
          "structure", 
          "unstable zone", 
          "different healing problems", 
          "malunited fracture fragments", 
          "acetabulum little functional improvement", 
          "Sekund\u00e4r- und Sp\u00e4teingriffe nach Beckenring- und Azetabulumfrakturen", 
          "Sp\u00e4teingriffe nach Beckenring- und Azetabulumfrakturen", 
          "nach Beckenring- und Azetabulumfrakturen", 
          "Beckenring- und Azetabulumfrakturen", 
          "Azetabulumfrakturen"
        ], 
        "name": "Sekund\u00e4r- und Sp\u00e4teingriffe nach Beckenring- und Azetabulumfrakturen", 
        "pagination": "s172-s178", 
        "productId": [
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1021267696"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1007/s10039-006-1138-7"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1007/s10039-006-1138-7", 
          "https://app.dimensions.ai/details/publication/pub.1021267696"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2021-12-01T19:19", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-springernature-scigraph/baseset/20211201/entities/gbq_results/article/article_450.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://doi.org/10.1007/s10039-006-1138-7"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s10039-006-1138-7'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s10039-006-1138-7'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s10039-006-1138-7'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s10039-006-1138-7'


     

    This table displays all metadata directly associated to this object as RDF triples.

    166 TRIPLES      22 PREDICATES      106 URIs      96 LITERALS      6 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1007/s10039-006-1138-7 schema:about anzsrc-for:11
    2 anzsrc-for:1103
    3 schema:author Na856c4691b13452da36ce2b75185a291
    4 schema:citation sg:pub.10.1007/s001320050045
    5 sg:pub.10.1007/s00402-005-0069-2
    6 schema:datePublished 2007-05
    7 schema:datePublishedReg 2007-05-01
    8 schema:description Secondary or delayed reconstructions following mal- or nonunited fractures of the pelvic ring and acetabulum are challenging procedures. Three different healing problems have to be distinguished: malunion, nonunion, and fractures and/or dislocations that have healed incompletely. Combinations of these three pathologies are also possible. Delayed reconstructions have no chance of success unless the patient’s signs and symptoms are clearly attributable to the malunion or nonunion. This means that extensive clinical and radiological evaluation is mandatory preoperatively. Risks involved and the results that can be expected must be discussed thoroughly with the patient once the surgery has been planned in detail. For the treatment of nonunion or delayed union, the unstable zone must be debrided, and autologous bone grafting with cancellous bone and stable internal fixation are then required. Malunion requires careful mobilization of the malunited fracture fragments, which is often a very demanding procedure. If there is already advanced damage to the acetabulum little functional improvement can be expected after a corrective osteotomy. Viable treatment alternatives are hip fusion and endoprosthetic joint replacement. Possible complications include damage to neurovascular structures, impaired wound healing, infections and implant failure. Extensive experience in the management of acute fractures of the pelvic ring and acetabulum is essential if delayed reconstruction is to be successful.
    9 schema:genre article
    10 schema:inLanguage en
    11 schema:isAccessibleForFree true
    12 schema:isPartOf N1a15b4dcdda44972b2d997006dc0ac1d
    13 N8c8c551857154f44addbf8562f6ddd4a
    14 sg:journal.1119246
    15 schema:keywords Azetabulumfrakturen
    16 Beckenring- und Azetabulumfrakturen
    17 MAL
    18 Sekundär- und Späteingriffe nach Beckenring- und Azetabulumfrakturen
    19 Späteingriffe nach Beckenring- und Azetabulumfrakturen
    20 Union
    21 acetabulum
    22 acetabulum little functional improvement
    23 acute fractures
    24 advanced damage
    25 alternative
    26 autologous bone
    27 bone
    28 cancellous bone
    29 careful mobilization
    30 chance
    31 chances of success
    32 combination
    33 complications
    34 corrective osteotomy
    35 damage
    36 demanding procedures
    37 detail
    38 different healing problems
    39 dislocations
    40 endoprosthetic joint replacement
    41 evaluation
    42 experience
    43 extensive experience
    44 failure
    45 fixation
    46 fracture fragments
    47 fractures
    48 fragments
    49 functional improvement
    50 fusion
    51 healing
    52 healing problems
    53 hip fusion
    54 implant failure
    55 improvement
    56 infection
    57 internal fixation
    58 joint replacement
    59 little functional improvement
    60 malunion
    61 malunited fracture fragments
    62 management
    63 mobilization
    64 nach Beckenring- und Azetabulumfrakturen
    65 neurovascular structures
    66 nonunion
    67 osteotomy
    68 pathology
    69 patient's signs
    70 patients
    71 pelvic ring
    72 possible complications
    73 problem
    74 procedure
    75 radiological evaluation
    76 reconstruction
    77 replacement
    78 results
    79 ring
    80 risk
    81 signs
    82 stable internal fixation
    83 structure
    84 success
    85 surgery
    86 symptoms
    87 treatment
    88 treatment alternative
    89 treatment of nonunion
    90 unstable zone
    91 viable treatment alternative
    92 wound healing
    93 zone
    94 schema:name Sekundär- und Späteingriffe nach Beckenring- und Azetabulumfrakturen
    95 schema:pagination s172-s178
    96 schema:productId Nbf930f08ca8341b4831678bb9d602a15
    97 Nc66aacf9773f450fabf0d6c3070e058b
    98 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021267696
    99 https://doi.org/10.1007/s10039-006-1138-7
    100 schema:sdDatePublished 2021-12-01T19:19
    101 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    102 schema:sdPublisher N9daab97cde75466197df8a9b1e69d733
    103 schema:url https://doi.org/10.1007/s10039-006-1138-7
    104 sgo:license sg:explorer/license/
    105 sgo:sdDataset articles
    106 rdf:type schema:ScholarlyArticle
    107 N1a15b4dcdda44972b2d997006dc0ac1d schema:issueNumber Suppl 2
    108 rdf:type schema:PublicationIssue
    109 N7b58bc138a0a42ca91b2f2ed46598786 rdf:first sg:person.01266436472.61
    110 rdf:rest rdf:nil
    111 N8c8c551857154f44addbf8562f6ddd4a schema:volumeNumber 9
    112 rdf:type schema:PublicationVolume
    113 N9daab97cde75466197df8a9b1e69d733 schema:name Springer Nature - SN SciGraph project
    114 rdf:type schema:Organization
    115 Na856c4691b13452da36ce2b75185a291 rdf:first sg:person.01124371277.02
    116 rdf:rest Nc496f8a5d8864e258c0b23e02ecfe464
    117 Nbca33b480fc9461f80d8ef1622a1550b rdf:first sg:person.01043506565.56
    118 rdf:rest N7b58bc138a0a42ca91b2f2ed46598786
    119 Nbf930f08ca8341b4831678bb9d602a15 schema:name dimensions_id
    120 schema:value pub.1021267696
    121 rdf:type schema:PropertyValue
    122 Nc496f8a5d8864e258c0b23e02ecfe464 rdf:first sg:person.01132356644.98
    123 rdf:rest Nbca33b480fc9461f80d8ef1622a1550b
    124 Nc66aacf9773f450fabf0d6c3070e058b schema:name doi
    125 schema:value 10.1007/s10039-006-1138-7
    126 rdf:type schema:PropertyValue
    127 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    128 schema:name Medical and Health Sciences
    129 rdf:type schema:DefinedTerm
    130 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
    131 schema:name Clinical Sciences
    132 rdf:type schema:DefinedTerm
    133 sg:journal.1119246 schema:issn 1436-6274
    134 1436-6282
    135 schema:name Trauma und Berufskrankheit
    136 schema:publisher Springer Nature
    137 rdf:type schema:Periodical
    138 sg:person.01043506565.56 schema:affiliation grid-institutes:None
    139 schema:familyName Hofmann
    140 schema:givenName A.
    141 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01043506565.56
    142 rdf:type schema:Person
    143 sg:person.01124371277.02 schema:affiliation grid-institutes:None
    144 schema:familyName Hessmann
    145 schema:givenName M. H.
    146 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01124371277.02
    147 rdf:type schema:Person
    148 sg:person.01132356644.98 schema:affiliation grid-institutes:None
    149 schema:familyName Ingelfinger
    150 schema:givenName P.
    151 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01132356644.98
    152 rdf:type schema:Person
    153 sg:person.01266436472.61 schema:affiliation grid-institutes:None
    154 schema:familyName Rommens
    155 schema:givenName P. M.
    156 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01266436472.61
    157 rdf:type schema:Person
    158 sg:pub.10.1007/s001320050045 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006273950
    159 https://doi.org/10.1007/s001320050045
    160 rdf:type schema:CreativeWork
    161 sg:pub.10.1007/s00402-005-0069-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006816547
    162 https://doi.org/10.1007/s00402-005-0069-2
    163 rdf:type schema:CreativeWork
    164 grid-institutes:None schema:alternateName Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universität, Langenbeckstraße 1, 55101, Mainz
    165 schema:name Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg-Universität, Langenbeckstraße 1, 55101, Mainz
    166 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...