Implantatentfernung nach Beckenringfraktur

Abstract

In some cases like external fixation, implant-associated infection, malpositioning, allergic implant reaction, critical soft tissue covering, palpable hardware and consolidated juvenile fractures implant removal is certainly indicated. In patients without symptoms and in patients with trauma-associated symptoms which are not definitely associated with the hardware, the removal should be only indicated after thorough consideration of the risks versus the benefits and additionally by taking the initial injury pattern into account. If despite all these objections the hardware removal has been indicated it should always be considered that hardware removal may be challenging with several possible severe complications.

Metal implant removal: benefits and drawbacks – a patient survey

“…Complication rates and kinds (refractures, wound infections or nerve damages) differ with various implants and body sides. Furthermore documentation of the complications and study design are heterogeneous [ 7 , 9 – 12 , 24 , 25 ].…”

“…There is some evidence indicating that the postoperative complication rate depends on the specific localization of the implanted material. However, inter-individual differences are significant and published data still lacks consistency [ 7 – 12 ]. Therefore general recommendations cannot yet be established.…”

Berufliche Wiedereingliederung nach Becken- und Azetabulumfrakturen

“…Das primäre Therapieziel instabiler Beckenfrakturen besteht daher in der raschen Stabilisierung des Beckens als lebensrettende Maßnahme zur Reduktion pelviner Blutungen. Die definitive Rekonstruktion erfolgt meist anschließend in der sekundären Operationsphase [7]. Bislang werden v. a. Untersuchungen geführt, die auf eine Verbesserung der Überlebenswahrscheinlichkeit in der Akutphase abzielen.…”

Rate of intraoperative problems during sacroiliac screw removal: expect the unexpected

“…In their case series on implant removal from the anterior and posterior pelvis, Stuby et al [15] observed procedure-related complications in 20%.…”

“…Some authors see an indication for removal only in case of complications [9, 20], others recommend implant removal routinely [7, 21]. Only about a third of the symptomatic patients report sufficient relief of their complaints after the procedure [15]. In addition, many patients ask for removal without being symptomatic.…”