The anterior subcutaneous internal fixator (ASIF) for unstable pelvic ring fractures. Clinical and radiological mid-term results
详细信息 查看全文
- 作者：Franz Josef Müller (1)
Wolfgang Stosiek (1)
Michael Zellner (1)
Rainer Neugebauer (1)
Bernd Füchtmeier (1) - 关键词：Unstable pelvic ring fractures ; The anterior subcutaneous internal fixator ; Type C pelvic ring fractures
- 刊名：International Orthopaedics
- 出版年：2013
- 出版时间：November 2013
- 年：2013
- 卷：37
- 期：11
- 页码：2239-2245
- 全文大小：247 KB
- 参考文献：1. Black EA, Lawson CM, Smith S et al (2011) Open pelvic fractures: The University of Tennessee Medical Center At Knoxville experience over ten years. Iowa Orthop J 31:193-98
2. Davarinos N, Ellanti P, Morris S et al (2012) Epidemiology of pelvic and acetabular trauma in a Dublin tertiary hospital: a 10-year experience. Ir J Med Sci 181:243-46 CrossRef
3. Grotz MR, Allami MK, Harwood P et al (2005) Open pelvic fractures: epidemiology, current concepts of management and outcome. Injury 36:1-3 CrossRef
4. Ganz R, Krushell RJ, Jakob RP et al (1991) The antishock pelvic clamp. Clin Orthop 267:71-8
5. Nothofer W, Thonke N, Neugebauer R (2004) Treatment for unstable sacral fracture in pelvic ring disruptions with dorsal sacrum distantly anchored ORIF (DSDO). Unfallchirurg 107:118-27 CrossRef
6. Rysavy M, Pavelka T, Khayarin M et al (2010) Iliosacral screw fixation of the unstable pelvic ring injuries. Acta Chir Orthop Traumatol Cech 77:209-14
7. Kobbe P, Hockertz I, Sellei RM et al (2012) Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate. Int Orthop 36:159-64 CrossRef
8. Suzuki T, Hak DJ, Ziran BH et al (2009) Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures. Injury 40:405-09 CrossRef
9. Dienstknecht T, Berner A, Lenich A et al (2011) Biomechanical analysis of a transiliac internal fixator. Int Orthop 35:1863-868 CrossRef
10. Dienstknecht T, Berner A, Lenich A et al (2011) A minimally invasive stabilizing system for dorsal pelvic ring injuries. Clin Orthop Relat Res 496:3209-217 CrossRef
11. Tscherne H, Pohlemann T (1998) Unfallchirurgie. Becken und Acetabulum. Springer-Verlag, Berlin, Heidelberg, New York
12. Kim WY, Hearn TC, Seleem O et al (1999) Effect of pin location on stability of pelvic external fixation. Clin Orthop Relat Res 4:237-44 CrossRef
13. G?nsslen A, Krettek C (2006) Retrograde transpubic screw fixation of transpubic instabilities. Oper Orthop Traumatol 18:330-40 CrossRef
14. Cole PA, Gauger EM, Anavian J (2012) Anterior pelvic external fixator versus subcutaneous internal fixator in the treatment of anterior ring pelvic fractures. J Orthop Trauma 26:269-77 CrossRef
15. Kuttner M, Klaiber A, Lorenz T et al (2009) The pelvic subcutaneous cross-over internal fixator. Unfallchirurg 112:661-69 CrossRef
16. Vaidya R, Colen R, Vigdorchik J et al (2012) Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series. J Orthop Trauma 26:1- CrossRef
17. Tile M (1996) Acute pelvic fractures: I. Causation and classification. J Am Acad Orthop Surg 4:143-51
18. Gandek B, Ware JE, Aaronson NK et al (1998) Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International Quality of Life Assessment. J Clin Epidemiol 51:1171-178 CrossRef
19. Maurischat C, Morfeld M, Kohlmann T, Bullinger M (2004) Lebensqualit?t. Nützlichkeit und Psychometrie des Health Survey SF-36/SF-12 in der medizinischen Rehabilitation. Pabst Science Publishers, Lengerich
20. Pohlemann T, G?nsslen A, Schellwald O et al (1996) Outcome evaluation after unstable injuries of the pelvic ring. Unfallchirurg 99:249-59 CrossRef
21. Lunsjo K, Tadros A, Hauggaard A et al (2007) Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma 62:687-91 CrossRef
22. Parreira JG, Coimbra R, Rasslan S et al (2000) The role of associated injuries on outcome of blunt trauma sustaining pelvic fractures. Injury 31:677-82 CrossRef
23. Brenneman FD, Katyal D, Boulanger BR et al (1997) Long-term outcomes in open pelvic fractures. J Trauma 42:773-7723 CrossRef
24. Dienstknecht T, Pfeifer R, Horst K et al (2013) The long-term clinical outcome after pelvic ring injuries. Bone Joint J 95:548-53 CrossRef - 作者单位：Franz Josef Müller (1)
Wolfgang Stosiek (1)
Michael Zellner (1)
Rainer Neugebauer (1)
Bernd Füchtmeier (1)
1. Clinic of Orthopaedic and Trauma Surgery, Hospital Barmherzige Brüder Regensburg, 93049, Regensburg, Germany - ISSN：1432-5195
文摘
Purpose The purpose of this study was to determine the outcome of unstable type C pelvic fractures treated with posterior stabilisation and the anterior subcutaneous internal fixator (ASIF). Methods Altogether, 36 consecutive patients were treated for unstable type C pelvic ring fractures using posterior stabilisation and ASIF. After a minimum of 18?months, the clinical and radiological outcome was retrospectively investigated. Results Overall, three patients (8.3?%) died, and 31 patients (86?%) were available for follow-up after a mean of 4.5?years. Thirty of 31 patients (97?%) showed radiographic bone consolidation of both the posterior and anterior pelvic ring. Only one non-union and two infections due to the anterior device were observed. The total German pelvic outcome score showed an excellent or good rating for 64.5?% of the patients, and a fair or poor for 35.5?%. The SF-12 questionnaire showed a significantly reduced total score for physical and mental health compared to a general reference population. Conclusions The ASIF represents an innovative surgical procedure for the treatment of type C pelvic ring fractures. In the medium term, patient satisfaction was high and the complication rate was low, despite the small number of patients. More cases must be investigated before the procedure can be recommended in general, possibly replacing the external fixator for the treatment of pelvic ring fractures in the future.