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In Situ Fixation of Pelvic Nonunions Following Pathologic and Insufficiency Fractures by Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am Volume.

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Presentation on theme: "In Situ Fixation of Pelvic Nonunions Following Pathologic and Insufficiency Fractures by Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am Volume."— Presentation transcript:

1 In Situ Fixation of Pelvic Nonunions Following Pathologic and Insufficiency Fractures by Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am Volume 84(5):721-728 May 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1-A and 1-B A forty-five-year-old woman with steroid-dependent lupus erythematosus who had previously undergone a bilateral total hip arthroplasty for the treatment of avascular necrosis sustained a bilateral insufficiency fracture of the pelvis. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

3 Anteroposterior radiograph, made two years postoperatively, showing posterior stabilization of both sides of the sacrum with a 4.5-mm reconstruction plate and two iliosacral screws. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

4 FIgs. 2-A through 2-E A seventy-eight-year-old woman had an insidious onset of right-sided pain in the posterior and anterior aspects of the pelvis and severe instability that necessitated the use of a walker. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

5 Preoperative transaxial computed tomographic scan of the pelvis, demonstrating a bilateral nonunion of the lateral aspect of the sacrum and marked osteopenia. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

6 Figs. 2-C, 2-D, and 2-E Postoperative anteroposterior, inlet, and outlet pelvic radiographs showing an in situ stabilization of the bilateral sacral nonunion with a 4.5-mm reconstruction plate, two iliosacral screws, and supplementary cable fixation. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

7 Figs. 2-C, 2-D, and 2-E Postoperative anteroposterior, inlet, and outlet pelvic radiographs showing an in situ stabilization of the bilateral sacral nonunion with a 4.5-mm reconstruction plate, two iliosacral screws, and supplementary cable fixation. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

8 Figs. 2-C, 2-D, and 2-E Postoperative anteroposterior, inlet, and outlet pelvic radiographs showing an in situ stabilization of the bilateral sacral nonunion with a 4.5-mm reconstruction plate, two iliosacral screws, and supplementary cable fixation. Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

9 Figs. 3-A through 3-D A sixty-three-year-old woman who had had sequential harvesting of bone graft from the posterior aspect of both iliac crests to treat a nonunion at the site of an ankle arthrodesis presented with an insufficiency fracture of both sacroi... Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

10 Figs. 3-A through 3-D A sixty-three-year-old woman who had had sequential harvesting of bone graft from the posterior aspect of both iliac crests to treat a nonunion at the site of an ankle arthrodesis presented with an insufficiency fracture of both sacroi... Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

11 Figs. 3-C and 3-D Inlet and outlet radiographs, made three years postoperatively, showing an in situ stabilization of both sacroiliac joints with a posterior 4.5-mm reconstruction plate and two cannulated iliosacral screws with an interposed cable through t... Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.

12 Figs. 3-C and 3-D Inlet and outlet radiographs, made three years postoperatively, showing an in situ stabilization of both sacroiliac joints with a posterior 4.5-mm reconstruction plate and two cannulated iliosacral screws with an interposed cable through t... Dana C. Mears, and John H. Velyvis J Bone Joint Surg Am 2002;84:721-728 ©2002 by The Journal of Bone and Joint Surgery, Inc.


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