Percutaneous repair of a nonunion pubic ramus fracture using a metallic stent scaffold and cement osteoplasty.
This report describes a case of repair of a nonunion pubic ramus fracture with intramedullary placement of a self-expanding nitinol stent across a fracture gap to provide a permeable scaffold for polymethylmethacrylate (PMMA) cement to track across the fracture gap and to restrict leakage into surrounding soft tissues. The patient presented with an 8-month history of pelvic pain and debility. His pain remains resolved after 14 months. Percutaneous repair of nonunion pubic rami fractures using a bridging metallic stent in combination with PMMA bone cement may be an effective treatment for these fractures.
Kamysz
John W
JW
Northwestern Lake Forest Hospital, 660 N. Westmoreland Rd, Lake Forest, IL 60045, USA. kamyszj@netscape.net
D000368:Aged; D000497:Alloys; D001843:Bone Cements / Q000627:therapeutic use*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005599:Fractures, Ununited / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology; D019904:Polymethyl Methacrylate / Q000627:therapeutic use*; D011474:Prosthesis Design; D011630:Pubic Bone / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000497:Alloys; D001843:Bone Cements; C013616:nitinol; D019904:Polymethyl Methacrylate