Perkutane SI-Verschraubung bei Beckenringinsuffizienzfraktur nach Implantation einer Sockelpfanne

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Perkutane SI-Verschraubung bei Beckenringinsuffizienzfraktur nach Implantation einer Sockelpfanne : Ein Fallbericht. / Fensky, F; Schäffler, A; Siebenlist, S; König, B; Stöckle, U.

In: UNFALLCHIRURG, Vol. 114, No. 12, 01.12.2011, p. 1115-9.

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@article{19699f1a7bf447a28c7b0307de47ad5f,
title = "Perkutane SI-Verschraubung bei Beckenringinsuffizienzfraktur nach Implantation einer Sockelpfanne: Ein Fallbericht",
abstract = "Insufficiency fractures of the sacrum are frequently overlooked injuries especially in postmenopausal women with an osteoporotic bone structure and without a history of significant trauma. Plain radiographs are frequently inadequate in showing insufficiency fractures of the sacrum. Regarding this a fracture of a pubic ramus combined with appropriate clinical symptoms should raise the suspicion of a concomitant sacral injury. Therefore, further investigations including a CT scan are necessary.The case of an osteoporotic female patient with bilateral insufficiency fractures of the sacrum and a fracture of the right superior and inferior pubic ramus 5 weeks after primary total hip arthroplasty and implantation of a pedestal cup due to an intraoperative fracture of the right acetabulum is presented. To ensure early mobilization as well as avoidance of further concomitant morbidities a percutaneous iliosacral screw fixation was performed. This approach has been established as an operative treatment for minimally or non-displaced insufficiency fractures of the sacrum.",
keywords = "Bone Screws, Female, Fracture Fixation, Internal, Fractures, Stress, Hip Prosthesis, Humans, Ilium, Middle Aged, Pelvis, Sacrum, Treatment Outcome",
author = "F Fensky and A Sch{\"a}ffler and S Siebenlist and B K{\"o}nig and U St{\"o}ckle",
year = "2011",
month = dec,
day = "1",
doi = "10.1007/s00113-010-1908-3",
language = "Deutsch",
volume = "114",
pages = "1115--9",
journal = "UNFALLCHIRURGIE",
issn = "0177-5537",
publisher = "Springer",
number = "12",

}

RIS

TY - JOUR

T1 - Perkutane SI-Verschraubung bei Beckenringinsuffizienzfraktur nach Implantation einer Sockelpfanne

T2 - Ein Fallbericht

AU - Fensky, F

AU - Schäffler, A

AU - Siebenlist, S

AU - König, B

AU - Stöckle, U

PY - 2011/12/1

Y1 - 2011/12/1

N2 - Insufficiency fractures of the sacrum are frequently overlooked injuries especially in postmenopausal women with an osteoporotic bone structure and without a history of significant trauma. Plain radiographs are frequently inadequate in showing insufficiency fractures of the sacrum. Regarding this a fracture of a pubic ramus combined with appropriate clinical symptoms should raise the suspicion of a concomitant sacral injury. Therefore, further investigations including a CT scan are necessary.The case of an osteoporotic female patient with bilateral insufficiency fractures of the sacrum and a fracture of the right superior and inferior pubic ramus 5 weeks after primary total hip arthroplasty and implantation of a pedestal cup due to an intraoperative fracture of the right acetabulum is presented. To ensure early mobilization as well as avoidance of further concomitant morbidities a percutaneous iliosacral screw fixation was performed. This approach has been established as an operative treatment for minimally or non-displaced insufficiency fractures of the sacrum.

AB - Insufficiency fractures of the sacrum are frequently overlooked injuries especially in postmenopausal women with an osteoporotic bone structure and without a history of significant trauma. Plain radiographs are frequently inadequate in showing insufficiency fractures of the sacrum. Regarding this a fracture of a pubic ramus combined with appropriate clinical symptoms should raise the suspicion of a concomitant sacral injury. Therefore, further investigations including a CT scan are necessary.The case of an osteoporotic female patient with bilateral insufficiency fractures of the sacrum and a fracture of the right superior and inferior pubic ramus 5 weeks after primary total hip arthroplasty and implantation of a pedestal cup due to an intraoperative fracture of the right acetabulum is presented. To ensure early mobilization as well as avoidance of further concomitant morbidities a percutaneous iliosacral screw fixation was performed. This approach has been established as an operative treatment for minimally or non-displaced insufficiency fractures of the sacrum.

KW - Bone Screws

KW - Female

KW - Fracture Fixation, Internal

KW - Fractures, Stress

KW - Hip Prosthesis

KW - Humans

KW - Ilium

KW - Middle Aged

KW - Pelvis

KW - Sacrum

KW - Treatment Outcome

U2 - 10.1007/s00113-010-1908-3

DO - 10.1007/s00113-010-1908-3

M3 - SCORING: Zeitschriftenaufsatz

C2 - 21161150

VL - 114

SP - 1115

EP - 1119

JO - UNFALLCHIRURGIE

JF - UNFALLCHIRURGIE

SN - 0177-5537

IS - 12

ER -