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Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate

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Abstract

Purpose

Sacroiliac screw fixation is the method of choice for the definitive treatment of unstable posterior pelvic-ring injuries; however, this technique is demanding and associated with a high risk of iatrogenic neurovascular damage. This study evaluates whether minimally invasive transiliac locked compression plate stabilisation may be an alternative to sacroiliac screw fixation in unstable posterior pelvic-ring injuries.

Methods

We performed a retrospective analysis of patients with unstable pelvic-ring injuries treated with a transiliac locked compression plate at a level I trauma centre. Outcome evaluation was assessed using the Pelvic Outcome Score and analysis of complications, intraoperative fluoroscopic time, and duration of the surgical procedure.

Results

Twenty-one patients were available for follow-up after an average of 30 months. The main findings were as follows: Overall outcome for the Pelvic Outcome Score was excellent in 47.6% (ten patients), good in 19% (four patients), fair in 28.6% (six patients), and poor in 4.8% (one patient). Average operation time was 101 min and intraoperative fluoroscopic time averaged 74.2 s. No iatrogenic neurovascular injuries were observed.

Conclusion

Minimally invasive transiliac locked compression plate stabilisation may be a good alternative to sacral screw fixation because it is quick, safe and associated with a good functional outcome.

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Authors contributions

TH performed all operations, IH and PK collected and analysed data, HR, TH, RS and PK prepared the manuscript.

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Authors and Affiliations

  1. Department of Orthopaedic Trauma Surgery, Städtisches Klinikum Braunschweig, Brunswick, Germany

    Philipp Kobbe, Ingrid Hockertz & Heinrich Reilmann

  2. Department of Orthopaedic Trauma Surgery, University of Aachen, Pauwelsstr. 30, 52074, Aachen, Germany

    Philipp Kobbe & Richard M. Sellei

  3. Department of Orthopaedic Trauma Surgery, Kreiskrankenhaus Wolfenbüttel, Wolfenbuttel, Germany

    Thomas Hockertz

Authors
  1. Philipp Kobbe
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  2. Ingrid Hockertz
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  3. Richard M. Sellei
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  4. Heinrich Reilmann
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  5. Thomas Hockertz
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Correspondence to Philipp Kobbe.

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Kobbe, P., Hockertz, I., Sellei, R.M. et al. Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate. International Orthopaedics (SICOT) 36, 159–164 (2012). https://doi.org/10.1007/s00264-011-1279-6

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  • DOI: https://doi.org/10.1007/s00264-011-1279-6

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