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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -