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Unfallchirurg. 2011 Dec;114(12):1115-9. doi: 10.1007/s00113-010-1908-3.

[Percutaneous iliosacral screw fixation for pelvis insufficiency fracture after implantation of a pedestal cup: case report].

[Article in German]

Author information

  • 1Abteilung für Unfallchirurgie, Klinikum rechts der Isar der TU München, Ismaningerstr. 22, 81675, München, Deutschland. fensky@uchir.me.tum.de

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.

PMID:
21161150
[PubMed - indexed for MEDLINE]
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