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Schmitz, Paul ; Kerschbaum, Maximilian ; Lamby, Philipp ; Lang, Siegmund ; Alt, Volker ; Worlicek, Michael

Iliac Bone Corridors to Host the Transiliac Internal Fixator—An Experimental CT Based Analysis

Schmitz, Paul, Kerschbaum, Maximilian , Lamby, Philipp, Lang, Siegmund , Alt, Volker and Worlicek, Michael (2021) Iliac Bone Corridors to Host the Transiliac Internal Fixator—An Experimental CT Based Analysis. Journal of Clinical Medicine 2021 (10), p. 1500.

Date of publication of this fulltext: 15 Apr 2021 14:29
Article
DOI to cite this document: 10.5283/epub.45188


Abstract

Background: The transiliac internal fixator (TIFI) is a novel minimally invasive surgical procedure to stabilize posterior pelvic ring fractures. Two bone corridors with different lengths, widths, and angulations are suitable to host screws in the posterior iliac wing. While the length and the width have been described previously, the angulation has not been determined yet. Methods: We created a ...

Background: The transiliac internal fixator (TIFI) is a novel minimally invasive surgical procedure to stabilize posterior pelvic ring fractures. Two bone corridors with different lengths, widths, and angulations are suitable to host screws in the posterior iliac wing. While the length and the width have been described previously, the angulation has not been determined yet. Methods: We created a computer tomography-based 3D-model of 40 patients (20 women, 20 men). The possible bone corridors to host the ilium screws for the TIFIcc (cranio-caudal) and the TIFIdv (dorso-ventral) procedure were identified. After reaching the optimal position, the angles in relation to the sagittal and axial plane were measured. The anterior pelvic plane was chosen as the reference plane. Results: The mean angle of the TIFIcc screws related to the axial plane was 63.4 degrees (+/- 1.8 degrees) and to the sagittal plane was 12.3 degrees (+/- 1.5 degrees). The mean angle of the TIFIdv screws related to the axial plane was 16.1 degrees (+/- 1.2 degrees) and to the sagittal plane was 20.1 degrees (+/- 2.0 degrees). In each group, a high constancy was apparent irrespective of the age or physical dimension of the patient, although a significant gender-dependent difference was observed". Conclusions: Due to a high inter-individual constancy in length, width, and angulation, bone corridors in the posterior iliac wing are reliable to host screws for posterior pelvic ring fixation irrespective of each individual patient's anatomy.



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Details

Item typeArticle
Journal or Publication TitleJournal of Clinical Medicine
Publisher:MDPI
Place of Publication:BASEL
Volume:2021
Number of Issue or Book Chapter:10
Page Range:p. 1500
Date4 April 2021
InstitutionsMedicine > Lehrstuhl für Unfallchirurgie
Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie
Identification Number
ValueType
10.3390/jcm10071500DOI
Keywords; pelvic ring fracture; transiliac internal fixation; TIFI; rod-screw system; minimally invasive pelvic surgery; anterior pelvic plane; APP
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-451882
Item ID45188

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