TY - JOUR

T1 - Perkutan fiksering af sacrumfrakturer. Primaere erfaringer med en ny teknik

AU - Gvozdenovic, Robert

AU - Dahl, B T

AU - Blyme, P J

AU - Kiaer, T

AU - Tøndevold, E

PY - 1998/8/31

Y1 - 1998/8/31

N2 - A number of techniques have been introduced to obtain reduction and fixation of rotational and vertical unstable sacral fractures and sacro-iliac (SI) joint disruptions. The purpose of this study is to report our primary experience with percutaneous cannulated screw fixation across the joint or fracture line. Fifteen consecutive patients, seven males and eight females, were operated. Six patients had isolated sacral fractures or SI joint disruption. All patients had a type C pelvic fracture according to Tile's classification. Percutaneous fixation of sacral fractures and sacro-iliac joint disruptions allows a short operating time, minimal bleeding and soft tissue damage, and immediate non-weight bearing mobilisation. No non-unions were seen and there were no cases of infection. In two patients the material had to be removed. The method gives adequate fixation of unstable posterior pelvic-ring fractures, but is technically difficult as malposition of the screws might cause serious perioperative complications.

AB - A number of techniques have been introduced to obtain reduction and fixation of rotational and vertical unstable sacral fractures and sacro-iliac (SI) joint disruptions. The purpose of this study is to report our primary experience with percutaneous cannulated screw fixation across the joint or fracture line. Fifteen consecutive patients, seven males and eight females, were operated. Six patients had isolated sacral fractures or SI joint disruption. All patients had a type C pelvic fracture according to Tile's classification. Percutaneous fixation of sacral fractures and sacro-iliac joint disruptions allows a short operating time, minimal bleeding and soft tissue damage, and immediate non-weight bearing mobilisation. No non-unions were seen and there were no cases of infection. In two patients the material had to be removed. The method gives adequate fixation of unstable posterior pelvic-ring fractures, but is technically difficult as malposition of the screws might cause serious perioperative complications.

M3 - Tidsskriftartikel

VL - 160

SP - 5186

EP - 5189

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 36

ER -