Schmitz, Paul and Baumann, Florian and Acklin, Yves P. and Gueorguiev, Boyko and Nerlich, Michael and Grechenig, Stephan and Mueller, Michael Bernd (2019) Clinical application of a minimally invasive cement-augmentable Schanz screw rod system to treat pelvic ring fractures. INTERNATIONAL ORTHOPAEDICS, 43 (3). pp. 697-703. ISSN 0341-2695, 1432-5195
Full text not available from this repository. (Request a copy)Abstract
PurposeThe purpose of this study is to analyze the results using the USS fracture MIS system (DePuy Synthes) to treat instable pelvic ring fractures. As its outstanding feature, it is the only Schanz screw and rod system at present that combines angular stability, perforation/fenestration of the screws for cement-augmentation, a variable screw length, and a large screw diameter.Materials and methodsRetrospective investigation of 134 pelvic ring fractures treated in 2012-2013. Twenty-five patients obtained the abovementioned implant. Besides baseline characteristics of the included patients and the surgical procedure, a clinical/radiological follow-up of sixmonths was analyzed.ResultsDividing the collective into two groups, I high-energy trauma and II fragility fracture of the pelvis, the following results were recorded: group I: ten patients, six male, age 48.419.7years. Mean ISS 4122.5, fracture classification: AO/OTA type 61 B-1/C-1/C-3=1/5/4. Operative treatment: three transiliac internal fixator, seven iliolumbar fixation, one implant was cement-augmented. Group II: 15 patients, 14 female, age 77.5 +/- 10.1years. Fracture classification according to Rommens: FFPII/(III)/(IV)=6/1/8. Operative treatment: eight transiliac internal fixator, seven iliolumbar fixation, 14 implants were cement-augmented. Overall surgical side complications: 16%. Radiological examination: correct positioning of all ilium screws. Follow-up after sixmonth (16 patients): all showed fracture consolidation. One ilium screw was broken close to the connecting clamp.Conclusion The investigated Schanz screw rod system is a suitable implant to broaden the established procedures to stabilize dorsal pelvic ring fractures.Trial registration The study is registered at the Clinical Trial Registry University of Regensburg (Number Z-2017-0878-3).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | INTERNAL FIXATOR; TRIANGULAR OSTEOSYNTHESIS; FRAGILITY FRACTURES; SURGICAL TECHNIQUE; ILIOSACRAL SCREWS; SACRAL FRACTURES; STABILIZATION; PLACEMENT; Fracture; Pelvis; Internal fixation; Cement augmentation; TIFI; Schanz screw |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Apr 2020 07:57 |
| Last Modified: | 16 Apr 2020 07:57 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27463 |
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