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- Title
[Percutaneous iliosacral screw fixation for pelvis insufficiency fracture after implantation of a pedestal cup: case report].
- Authors
Fensky, F; Schäffler, A; Siebenlist, S; König, B; Stöckle, U
- Abstract
Insufficiency fractures of the sacrum are frequently overlooked injuries especially in postmenopausal women with an osteoporotic bone structure and without a history of significant trauma. Plain radiographs are frequently inadequate in showing insufficiency fractures of the sacrum. Regarding this a fracture of a pubic ramus combined with appropriate clinical symptoms should raise the suspicion of a concomitant sacral injury. Therefore, further investigations including a CT scan are necessary.The case of an osteoporotic female patient with bilateral insufficiency fractures of the sacrum and a fracture of the right superior and inferior pubic ramus 5 weeks after primary total hip arthroplasty and implantation of a pedestal cup due to an intraoperative fracture of the right acetabulum is presented. To ensure early mobilization as well as avoidance of further concomitant morbidities a percutaneous iliosacral screw fixation was performed. This approach has been established as an operative treatment for minimally or non-displaced insufficiency fractures of the sacrum.
- Publication
Der Unfallchirurg, 2011, Vol 114, Issue 12, p1115
- ISSN
1433-044X
- Publication type
Journal Article
- DOI
10.1007/s00113-010-1908-3