caa a22 4500 605486530 CHVBK 20210128100446.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00064-014-0307-2 doi (NATIONALLICENCE)springer-10.1007/s00064-014-0307-2 Double locking plate fixation of sacral fractures in unstable pelvic ring C-type injuries [Elektronische Daten] [Y.P. Acklin, G. Marco, C. Sommer] Doppelplattenfixation von Sakrumfrakturen bei instabilen Beckenringfrakturen vom Typ C Objective: Alternative sacrum fixation with double-plate osteosynthesis in vertical unstable pelvic fractures. The surgical technique allows anatomic reduction and osteosynthesis of the sacrum component. Indications: All vertical unstable pelvic ring fractures 61-C type according to AO/OTA system with associated displaced sacrum fractures Contraindications: Hemodynamic unstable patients, fractures with major sacroiliac joint involvement, nondisplaced sacrum fractures. Surgical technique: In prone position, a midline incision exposing the sacrum fracture is needed. The fracture is distracted and interjacent bone fragments or hematoma can be evacuated. The fracture is anatomically reduced and compressed. Two anatomically bent 3.5-mm locked compression plates (LCP) are placed on the dorsal aspect of the sacrum. In Denis typeII andIII fractures, the lateral screws can be placed in the lateral aspect of the sacrum. In Denis typeI fractures, the lateral screws are placed in the ilium lateral to the sacroiliac joint to improve purchase. Additional short monocortical locking screws in the middle part of the plates increase the vertical stability to the osteosynthesis. Fracture fixation of the anterior ring follows the dorsal procedure. Postoperative management: The patient is mobilized with partial weight bearing. Clinical and radiological follow-up is planned after 6and 12weeks. Results: A total of 27patients with vertical unstable pelvic fractures were identified and treated with open reduction and double-plate osteosynthesis. The Iowa pelvic score was rated excellent in 83 % and good in 17 % of cases. One patient developed a nonunion and had to be revised. Springer-Verlag Berlin Heidelberg, 2014 Pelvis nationallicence Dislocations nationallicence Osteosynthesis nationallicence Sacroiliac joint nationallicence Injury severity score nationallicence Becken nationallicence Dislozierung nationallicence Osteosynthese nationallicence Illiosakralgelenk nationallicence Verletzungsschwere-Score nationallicence Acklin Y.P. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut Marco G. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut Sommer C. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/1(2015-02-01), 74-79 0934-6694 27:1<74 2015 27 64 https://doi.org/10.1007/s00064-014-0307-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00064-014-0307-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Acklin Y.P. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut NATIONALLICENCE 700 1- Marco G. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut NATIONALLICENCE 700 1- Sommer C. General Surgery, Trauma unit, Kantonsspital Graubünden, Loestr. 170, 7000, Chur, Switzerland aut NATIONALLICENCE 773 0- Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/1(2015-02-01), 74-79 0934-6694 27:1<74 2015 27 64