Triangular osteosynthesis of vertically unstable sacrum fractures: A new concept allowing early weight-bearing

Journal of Orthopaedic Trauma

Volumn 20, Issue SUPPL.1, 2006, Pages

  Schildhauer, T A ^a   Josten, H ^a   Muhr, G ^a  

^a RUHR UNIVERSITY BOCHUM   (Germany)

Author keywords

Pelvic ring fractures; Sacrum fractures; Triangular osteosynthesis; Vertical stabilization

Indexed keywords

ADULT; AGED; ARTICLE; BONE PLATE; BONE SCREW; FEMALE; FRACTURE; HUMAN; INJURY; MALE; METHODOLOGY; MIDDLE AGED; OSTEOSYNTHESIS; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDY; SACRUM; WEIGHT BEARING;

ADULT; AGED; AGED, 80 AND OVER; BONE PLATES; BONE SCREWS; FEMALE; FRACTURE FIXATION, INTERNAL; FRACTURES, BONE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE PERIOD; RETROSPECTIVE STUDIES; SACRUM; WEIGHT-BEARING;

EID: 33646828013     PISSN: 08905339     EISSN: 15312291     Source Type: Journal    
DOI: 10.1097/01.bot.0000202392.24999.7c     Document Type: Article

References (26)

1. Albert MJ, Miller ME, MacNaughton M, Hutton WC. Posterior pelvic fixation using a transiliac 4.5 mm reconstruction plate: a clinical and biomechanical study. J Orthop Trauma 1993;7:226-232.
2. Browner BD, Cole JD, Graham JM, Bondurant FJ, Nunchuck-Burns SK, Colter HB. Delayed posterior internal fixation of unstable pelvic fractures. J Trauma 1987;27:998-1006.
3. Dabezius EJ, Millet CW, Murphy CP, Acker JH, Robicheaux RE, D'Ambrosia RD. Stabilization of sacroiliac joint disruption with threaded compression rods. Clin Orthop Relat Res 1989;246:165-171.
4. Dahners LE, Jacobs RR, Jayaraman G, Cepulo AJ. A study of external skeletal fixation systems for unstable pelvic fractures. J Trauma 1984;10:876-881.
5. Denis F, Steven D, Comfort T. Sacral fractures. An important problem, retrospective analysis of 236 cases. Clin Orthop Relat Res 1988;227:67-81.
6. Ebraheim NA, Coombs R, Hoeflinger MJ, Zeman C, Jackson WT. Anatomical and radiological considerations in compressive bar technique for posterior pelvic disruptions. J Orthop Trauma 1991;5:434-438.
7. Goldstein A, Phillips T, Sclafani SJA, et al. Early open reduction and internal fixation of the disrupted pelvic ring. J Trauma 1986;26:325-333.
8. Josten C, Schildhauer TA, Muhr G. Therapie instabiler Sakrum-frakturen bei Beckenringbrüchen. Erstergebnisse einer frühbelastbaren Osteosynthese. Chirurg 1994;65:970-975.
9. Käch K, Trentz O. Distraktionsspondylodese des Sakrums bei "Ver-tical-Shear-Läsionen" des Beckens. Unfallchirurg 1994;97:28-38.
10. Kellam JF. The role of external fixation in pelvic disruptions. Clin Orthop Relat Res 1989;241:66-82.
11. Leung KS, Chien P, Shen WY, So WS. Operative treatment of unstable pelvic ring fractures. Injury 1992;23:31-37.
12. Matta J, Saucedo T. Internal fixation of pelvic ring fractures. Clin Orthop Relat Res 1987;242:83-97.
13. Mears DC, Fu FH. Modern concepts of external fixation of the pelvis. Clin Orthop Relat Res 1980;151:65-72.
14. Muhr G, Buchholz J, Josten C. Viscerale urologische Verletzungen bei Beckentrauma. Chirurg 1993;64:874-879.
15. OTA. Fracture and dislocation compendium. J Orthop Trauma 1996;10(Suppl l):66-70.
16. Pohlemann T, Angst A, Schneider E, Ganz R, Tscherne H. Fixation of transforaminal sacrum fractures: a biomechanical study. / Orthop Trauma 1993;2:107-117.
17. Rieger H. Das instabile Becken. Kap. 12: Biomechanische Untersuchungen zur Beckenstabilisierung. Munich, W. Zuckschwerdt Verlag, 1996.
18. Routt MLC, Kregor PJ, Simonian PT, Mayo KA. Early results of percutaneous iliosacral screws placed with the patient in the supine position. J Orthop Trauma 1995;9:207-214.
19. Routt MLC, Simonian PT, Agnew SG, Mann FA. Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study. J Orthop Trauma 1996;10:171-177.
20. Rommens PM, Vanderschot PM, DeBoodt P, Broos PL. Surgical management of pelvic ring disruptions. Indications, techniques and functional results. Unfallchirurg 1992;95:455-462.
21. Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine 1985;10:838-845.
22. Russe OJ, Schildhauer TA, Muhr G. Biomechanical comparison of a new triangular osteosynthesis and two established fixation techniques in type C pelvic ring fractures. Trans Can Orthop Res Soc 1996.
23. Slätis P, Karaharju EO. External fixation of unstable pelvic fractures: experience in 22 patients treated with a trapezoid compression frame. Clin Orthop Relat Res 1980;151:73-80.
24. Stocks GW, Gabel GT, Noble PC, Hanson GW, Tullos HS. Anterior and posterior internal fixation of vertical shear fractures of the pelvis. / Orthop Res 1991;9:237-245.
25. Tile M. Fractures of the Pelvis and Acetabulum, 2nd ed. Baltimore, Williams & Wilkins, 1995.
26. Ward EF, Tomasin J, Vander Griend RA. Open reduction and internal fixation of vertical shear pelvic fractures. J Trauma 1987;27:291-295.