Fritz Tobias, Braun Benedikt J, Veith Nils T, Hopp Sascha J, Mettelsiefen Laura, Strobel Friedemann, Pohlemann Tim, Pizanis Antonius
Department of Trauma, Hand and Reconstrutive Surgery, Saarland University Hospital, Homburg, Germany.
Lutrina Clinic, Kaiserslautern, Germany.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0075. doi: 10.2106/JBJS.CC.18.00075.
In this case report, we present a novel stabilization technique of the pubic symphysis using an internal spinal fixator in a 78-year-old morbidly obese woman having a pelvic disruption type B1.1 (AO classification). We treated the disruption using an internal fixator to reduce the extent of the incision and soft-tissue damage.
The use of an internal fixator, known from percutaneous spinal fixation, for the stabilization of the pubic symphysis in cases of disruption ("open book" injuries) may be an alternative to the standard plate fixation as a novel minimally invasive stabilization technique.
在本病例报告中,我们介绍了一种使用内部脊柱固定器对一名78岁病态肥胖的骨盆B1.1型(AO分类)骨折女性进行耻骨联合稳定的新技术。我们使用内部固定器治疗骨折,以减少切口范围和软组织损伤。
在耻骨联合骨折(“书本样”损伤)病例中,采用经皮脊柱固定中已知的内部固定器进行稳定,作为一种新型的微创稳定技术,可能是标准钢板固定的替代方法。