Stabilization of a Type B1.1 Injury in a Morbidly Obese Patient Using an Internal Fixator in a Minimally Invasive Technique

• DOI: 10.2106/jbjs.cc.18.00075
• Publication Date: 2019-08-30T17:46:18Z
• Authors: Tobias Fritz; Benedikt J. Braun; Nils T. Veith; Sascha J. Hopp; Laura Mettelsiefen; Friedemann Strobel; Tim Pohlemann; Antonius Pizanis
• Keywords: Pubic symphysis; Morbidly obese; Soft tissue injury; Crush injury

Case: In this case report, we present a novel stabilization technique of the pubic symphysis using an internal spinal fixator in 78-year-old morbidly obese woman having pelvic disruption type B1.1 (AO classification). We treated to reduce extent incision and soft-tissue damage. Conclusions: The use fixator, known from percutaneous fixation, for cases (“open book” injuries) may be alternative standard plate fixation as minimally invasive technique.