Fotodynamische intramedulläre Knochenstabilisierung bei pathologischen Frakturen

A Novel Technique for Treatment of Peri-Implant Tibial Shaft Fracture with Pre-Existing Bimalleolar Ankle Fracture with a Combination of IlluminOss® Photodynamic Bone Stabilization System and Osteosynthesis

“…Ankle fractures are the most common fractures of the lower extremities and are generally treated surgically. The most common treatment options for ankle fractures include simple immobilization, fixation with intramedullary nails, and open surgical stabilization with plates and screws [2][3][4]9].…”

“…In the case of intramedullary nail fixation, although this minimally invasive technique seems to be a satisfactory method for high-risk patients, especially to avoid complications and shorten hospital stay [11], such an implant is not form-filling: The rigid metal implant exerts stress when inserted into the curved medullary cavity, which promotes undesirable dislocation of the fragments [3]. Consequently, none of the current the formation of customized intramedullary implants.…”

“…Current treatment options for ankle fractures include simple immobilization, percutaneous wire placement, intramedullary nail fixation, and open surgical stabilization with or without the use of plates and screws, or bone grafts. The choice of treatment depends on the severity of the fracture, the degree of comminution, the loss of bone material and the soft tissue conditions [3]. In cases of severe osteoporosis and compromised soft tissue, conventional treatments are usually unsatisfactory as the bone is functionally impaired and less able to hold screws and implants, yet the compromised soft tissue creates unfavorable conditions for implant fixation [3,4].…”

“…The choice of treatment depends on the severity of the fracture, the degree of comminution, the loss of bone material and the soft tissue conditions [3]. In cases of severe osteoporosis and compromised soft tissue, conventional treatments are usually unsatisfactory as the bone is functionally impaired and less able to hold screws and implants, yet the compromised soft tissue creates unfavorable conditions for implant fixation [3,4].…”

“…A new approach is the photodynamic bone stabilization system (PBSS), the IlluminOss ® system (IS), which received European approval in 2009 [3]. IS-PBSS is a system consisting of a light-curing resin that allows Abstract Surgical treatment of high-load fractures in patients with osteoporosis and compromised soft tissue is challenging and often results in unsatisfactory implant fixation.…”