Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jul-Sep;9(3):e0075.
doi: 10.2106/JBJS.CC.18.00075.

Stabilization of a Type B1.1 Injury in a Morbidly Obese Patient Using an Internal Fixator in a Minimally Invasive Technique: A Case Report

Tobias Fritz  1 , Benedikt J Braun  1 , Nils T Veith  1 , Sascha J Hopp  1   2 , Laura Mettelsiefen  1 , Friedemann Strobel  1 , Tim Pohlemann  1 , Antonius Pizanis  1
Affiliations
Case Reports

Stabilization of a Type B1.1 Injury in a Morbidly Obese Patient Using an Internal Fixator in a Minimally Invasive Technique: A Case Report

Tobias Fritz et al. JBJS Case Connect. 2019 Jul-Sep.

Abstract

Case: 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.

Conclusions: 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.

PubMed Disclaimer

References

    1. Lázaro Gonzálvez L, Martínez Reina J, Cano Luis P, Jiménez Baquero J, Sueiro Fernández J, Giráldez Sánchez MA. Is cannulated-screw fixation an alternative to plate osteosyntheses in open book fractures? A biomechanical analysis. Injury. 2016;47(suppl 3):S72-S77.
    1. Eastman JG, Krieg JC, Routt ML Jr. Early failure of symphysis pubis plating. Injury. 2016;47:1707-12.
    1. Tosounidis TH, Sheilch HQ, Kanakaris NK, Giannoudis PK. The use of external fixators in the definitive stabilization of the pelvis in polytrauma patients: safety, effiancy and clinical outcomes. Injury. 2017;48(6):1139-46.
    1. Ojodu I, Pohlemann T, Hopp S, Rollmann MFR, Holstein JH, Herath SC. Predictors of mortality for complex fractures of the pelvic ring in the eldery: a twelve-year review from a German level 1 trauma center. Injury. 2015;46(10):1996-8.
    1. Pizanis A, Garcia P, Santelmann M, Culemann U, Pohlemann T. Reduction and fixation capabilities of different plate designs for pubic symphysis disruption: a biomechanical comparison. Injury. 2013;44(2):183-8.

Publication types

LinkOut - more resources