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Verfasst von:Regenbogen, Stephan [VerfasserIn]   i
 Barbari, Jan el [VerfasserIn]   i
 Vetter, Sven Y. [VerfasserIn]   i
 Franke, Jochen [VerfasserIn]   i
 Grützner, Paul Alfred [VerfasserIn]   i
 Swartman, Benedict [VerfasserIn]   i
Titel:Feasibility and safety of 3D-navigated trans-sacral bar osteosynthesis for fragility fractures of the sacrum
Titelzusatz:first clinical experiences
Verf.angabe:Stephan Regenbogen, Jan El Barbari, Sven Y. Vetter, Jochen Franke, Paul Alfred Grützner and Benedict Swartman
E-Jahr:2024
Jahr:4 September 2024
Umfang:10 S.
Fussnoten:Gesehen am 17.02.2025
Weitere Titel:Titel des special issue: Complex Orthopedic Trauma: Diagnosis, Treatment, Managing Complications and Rehabilitation
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), 17, special issue, Artikel-ID 5244, Seite 1-10
ISSN Quelle:2077-0383
Abstract:Background: There has been an increasing number of fragility fractures of the sacrum in the recent decade. With rates of up to 28%, the complication rates after surgical treatment are still at an unacceptably high level, and new treatment strategies are urgently needed. Therefore, the purpose of this study was to evaluate the potential of 3D-navigated trans-sacral bar osteosynthesis in the surgical treatment of fragility fractures of the sacrum. Methods: Retrospectively, from 2017 to 2023, all cases with confirmed fragility fractures of the sacrum in patients > 65 years of age that were surgically treated with navigated 3D-navigated trans-sacral bar osteosynthesis were included, and epidemiological data and the course of treatment analyzed in comparison to a matched control group. Results: Finally, 21 patients (18 women and 3 men) were included in this study. The average age of the patients was 82.6 (SD 6.3) in the intervention group and 79.4 (SD 6.7) in the control group. There were postoperatively detected complications in two cases (18%) in the intervention group and in four cases (40%, p = 0.362) in the control group. The postoperative in-hospital stay was 10 days (SD 3.8) vs. 11.4 days (SD 3.8) in the control. None of the patients in the intervention group and two in the control group needed revision surgery. Conclusions: Overall, 3D-navigated trans-sacral bar osteosynthesis seems to be a promising technique, enabling an accurate implant positioning while offering a low complication rate with an excellent short-term outcome in elderly patients with fragility fractures of the sacrum.
DOI:doi:10.3390/jcm13175244
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/jcm13175244
 kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/17/5244
 DOI: https://doi.org/10.3390/jcm13175244
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:fragility fractures of the sacrum
 image-guided surgery
 intraoperative computed tomography
 intraoperative imaging
 osteoporotic sacral fractures
 sacral bar
 sacral insufficiency fractures
 surgical navigation
K10plus-PPN:1917392281
Verknüpfungen:→ Zeitschrift

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