Iliopubic subcutaneous plate osteosynthesis for osteoporotic fractures of the anterior pelvic ring. An alternative to the supra-acetabular external fixator.

Abstract

The majority of fractures of the anterior pelvic ring is treated non-operatively. However, a number of patients do not get pain free and cannot be mobilized. Since the supra-acetabular external fixator is associated with significant complications we developed an alternative technique based on recent anatomical studies. This article is a clinical feasibility study to evaluate a novel stabilization technique for fractures of the anterior pelvic ring in the elderly patient. This technique obtains rapid pain reduction and early ambulation in this group of patients.