Journal Logo

Institutional members access full text with Ovid®

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

A Case Report

Fritz, Tobias MD1; Braun, Benedikt J. MD1; Veith, Nils T. MD1; Hopp, Sascha J. MD1,2; Mettelsiefen, Laura1; Strobel, Friedemann1; Pohlemann, Tim MD1; Pizanis, Antonius MD1

doi: 10.2106/JBJS.CC.18.00075
Case Reports

Case: In this case report, we present a novel stabilization technique of the pubic symphysis using an internal spinal fixator in a 78-year-old morbidly obese woman having a pelvic disruption type B1.1 (AO classification). We treated the disruption using an internal fixator to reduce the extent of the incision and soft-tissue damage.

Conclusions: The use of an internal fixator, known from percutaneous spinal fixation, for the stabilization of the pubic symphysis in cases of disruption (“open book” injuries) may be an alternative to the standard plate fixation as a novel minimally invasive stabilization technique.

1Department of Trauma, Hand and Reconstrutive Surgery, Saarland University Hospital, Homburg, Germany

2Lutrina Clinic, Kaiserslautern, Germany

E-mail address for T. Fritz:

Investigation performed at Saarland University Medical Center, Homburg, Germany

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: