ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Short-term outcome of fragility fractures of the pelvis in the elderly treated with screw osteosynthesis and external fixator.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- A systematic review regarding clinical characteristics, complications, and outcomes of surgical and non-surgical patients with fragility fracture of the pelvis.Nagoya journal of medical science · 2023Pooled it
- Sacroiliac versus transiliac-transsacral screw osteosynthesis in osteoporotic pelvic fractures: a biomechanical comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Trial
- Conservative versus operative treatment of FFP II fractures in a geriatric cohort: a prospective randomized pilot trial.Scientific reports · 2023Trial
- Is anterior pelvic ring fixation associated with lower incidence of posterior hardware failure in elderly patients with pelvic ring injuries?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- [Surgical stabilization of fragility fractures of the pelvis shows a good age-appropriate result regardless of the surgical procedure].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Finite element analysis of sacral fixation strategies for fragility fractures of the pelvis.Scientific reports · 2026Article
- Transiliac-Transsacral Screw Provides Good Outcomes for Stabilizing Unstable Fragility Fracture of the Pelvis: A Retrospective Case Series.Life (Basel, Switzerland) · 2026Article
- Porous threaded titanium implant screws have higher insertional torque compared to standard screws.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Stabilization of Osteoporotic Pelvis and Acetabular Fractures.Indian journal of orthopaedics · 2025Review
- Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium : Tips and tricks to be successful.Operative Orthopadie und Traumatologie · 2025Review
- Finite element analysis of long SI screws in the treatment of vertically unstable bilateral sacral fractures.PloS one · 2025Article
- Mortality After Iliosacral Screw Fixation for Osteoporotic Pelvic Ring Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Bilateral Iliosacral and Transsacral Screws Are Biomechanically Favorable and Reduce the Risk for Fracture Progression in Fragility Fractures of the Pelvis-A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2025Article
- Biomechanical evaluation of an experimental internal ring fixator (RingFix) for stabilization of pelvic ring injuries on an osteoporotic bone model.Scientific reports · 2024Article
- [O-arm navigation versus C-arm navigation for guiding percutaneous long sacroiliac screws placement in treatment of Denis typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Incidence of and Risk Factors for Screw Loosening after Iliosacral Screw Fixation for Posterior Pelvic Ring Injury.Orthopaedic surgery · 2023Article
- External Fixation for Fracture Stabilization of the Sacrum in 15 Dogs.Frontiers in veterinary science · 2023Article
- Fragility Fractures of the Pelvis: Current Practices and Future Directions.Current osteoporosis reports · 2022Review
- Prospective assessment of key factors influencing treatment strategy and outcome of fragility fractures of the pelvis (FFP).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- A computed tomography based survey study investigating the agreement of the therapeutic strategy for fragility fractures of the pelvis.Scientific reports · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of fragility fractures of the pelvis is rising challenge for orthopedic trauma surgeons. Operative treatment should allow immediate full weight bearing and early mobilisation but should also be as minimal invasive as possible. Sacroiliac (SI) or transsacral transiliac screws (TSTI) alone or depending on the fracture in combination with an external fixator meets both of these criteria. MATERIAL AND
methodsThe outcome of 121 operatively treated patients with fragility fractures of the pelvis were evaluated in this retrospective study. Depending on the type of fracture the patients were treated with navigated SI screw or TSTI screw alone or in combination with an external fixator. All patients were operated in supine position in a hybrid-OR, which consists of a fixed robotic 3D flatpanel detector (Artis zeego, Siemens Healthineers, Germany) and a navigation system (BrainLab Curve, BrainLab, Germany).
results37 patients were treated with either one or two SI screws and 57 with one TSTI screw. An additional external fixator was combined with SI screws in 17 patients and with TSTI screws in 10 patients. The preoperative pain score was significantly higher compared to the postoperative score (5.1 ± 2.5 vs 2.2 ± 1.9, p < 0.05). Follow-up at 6 month was possible for 106 patients which showed screw loosening in 16.3% of the SI Screws (n = 49) compared to only 5.2% of TSTI screws (n = 57). No screw loosening was seen in the combination of TSTI-screw and external fixator (n = 10). There were two septic and three aseptic pin loosenings of the external fixator. Overall only one patient needed revision surgery due to screw loosening and local irritation. Overall 75.2% (n = 91) of the patients could be released in their home or in a rehabilitation unit and only 14% (n = 17) were released to a nursing home due to immobility despite the operation. Non-surgical complications rate was 21.5%.
conclusionSI or TSTI screws with possible combination with an external fixator show early pain relief and allows most of the patients to keep their former level of independence. With an also low surgical complication rate, it proved to be a safe and reliable treatment for fragility fractures of the pelvis. Due the effective pain relief and the minimal invasive approach, early mobilisation is possible and might prevent typical non-surgical complications which are very common during conservative treatment.
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