Nuber S, Ovalle D, Förch S, Plath J, Nuber M, Mayr E
Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Unfallchirurg. 2019 Nov;122(11):870-879. doi: 10.1007/s00113-018-0599-z.
The changing age distribution in society inevitably leads to a percentage increase in osteoporotic and fatigue fractures as well as the absolute number of insufficiency fractures of the pelvic ring. Due to pain these fractures lead to a loss of mobility and autonomy. To prevent these consequences surgical treatment is increasingly being performed.
This article presents a new configuration of an internal fixator on the anterior pelvic ring, the principle of which correlates to a three-point buttressing.
In addition to a description of the configuration of the internal fixator on the anterior pelvic ring and the surgical technique, the article presents the results after the first 23 applications.
The first results after application of the new internal fixator on the pelvic ring show a low risk, sufficient and minimally invasive stabilization with an encouraging clinical and radiological outcome.
Missing long-term results, also taking into account a higher number of patients, as well as the biomechanical examination of the presented fixator configuration still have to be evaluated.
社会年龄分布的变化不可避免地导致骨质疏松性骨折和疲劳性骨折的百分比增加，以及骨盆环不全骨折的绝对数量增加。由于疼痛，这些骨折会导致活动能力和自主能力丧失。为防止这些后果，越来越多地进行手术治疗。
本文介绍一种新型骨盆前环内固定器的结构，其原理与三点支撑相关。
除了描述骨盆前环内固定器的结构和手术技术外，本文还介绍了最初23例应用后的结果。
新型骨盆环内固定器应用后的初步结果显示，风险低、固定充分且微创，临床和影像学结果令人鼓舞。
仍需评估缺乏长期结果的情况，同时考虑更多患者数量以及所提出的固定器结构的生物力学检查。
