Universität zu Köln

Oikonomidis, Stavros ORCID: 0000-0002-7637-8611, Alabsi, Ahmad, Ashqar, Ghazi, Graf, Markus and Sobottke, Rolf (2019). Intramedullary Stabilization of Pubic Ramus Fractures in Elderly Patients With a Photodynamic Bone Stabilization System (IlluminOss). Geriatr. Orthop. Surg. Rehabil., 10. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 2151-4593

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Abstract

Introduction: A photodynamic bone stabilization system (PBSS) is a percutaneous operating method that provides intramedullary stabilization. The purpose of the study was to assess the clinical and radiological outcome after treatment of pubic ramus fractures with the PBSS. Materials and Methods: In a retrospective study, patients with osteoporotic pubic ramus fractures were included. The patients were treated with the PBSS in a percutaneous method. In the routine follow-up examination, pain was measured with the visual analog scale (VAS) and the type of mobilization was verified. Computer tomography of the pelvis was carried out in the follow-up examination (mean of 7.5 months after surgery) to investigate bone healing. Results: A total of 32 patients (25 females and 7 males) were included in the study. The average hospital stay was 16.5 +/- 7.9 days (range: 5-37 days) and the mean operation time was 116.8 +/- 47.1 minutes (range: 33-255 minutes). Two cases of wound infections and 1 case of misplacement of the PBSS implant with revision surgery have been documented. The mean VAS score for pelvic/hip pain at the day of inpatient discharge was 4.4 +/- 1.4 (range: 2-7). A total of 25 patients could attend the follow-up examination 7.5 +/- 1.7 months (range: 6-14) after the procedure, reporting a mean VAS for pelvic/hip pain of 3.0 +/- 2.2 (range: 0-8). A total of 11 patients could walk without an orthopedic walking device, 7 patients needed underarm crutches, 6 patients used a walker-rollator, and 1 patient was immobilized. Consolidated pubis ramus fractures were described in 24 (96%) cases. Discussion: The results of our study reveal adequate clinical and radiological outcomes after treatment of osteoporotic pubic ramus fractures with the PBSS. This is the first study investigating the outcome after treating pubic ramus fractures with the PBSS. Conclusion: Based on our findings, the PBSS is an alternative to known techniques for the stabilization of the pubic ramus.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Oikonomidis, Stavros UNSPECIFIED orcid.org/0000-0002-7637-8611 UNSPECIFIED Alabsi, Ahmad UNSPECIFIED UNSPECIFIED UNSPECIFIED Ashqar, Ghazi UNSPECIFIED UNSPECIFIED UNSPECIFIED Graf, Markus UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-147725
DOI:	10.1177/2151459318824904
Journal or Publication Title:	Geriatr. Orthop. Surg. Rehabil.
Volume:	10
Date:	2019
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	2151-4593
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANTERIOR PELVIC RING; FRAGILITY FRACTURES; FIXATION; AUGMENTATION; SCREW; EPIDEMIOLOGY Multiple languages Geriatrics & Gerontology; Orthopedics; Rehabilitation; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14772