{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:26:28Z","timestamp":1741325188870,"version":"3.38.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Behandlung von Patienten mit ISG-Dysfunktion ist aufgrund der multifaktoriellen Schmerzursachen und vielf\u00e4ltigen Probleme bei der Abkl\u00e4rung schwierig. Die Behandlung umfasst physikalische Therapie, Kortikosteroide, Prolotherapie, Hochfrequenzdenervation und Iliosakralgelenkfusion. Eine neue Option f\u00fcr die operative Behandlung von ISG-Dysfunktionen stellt das Torpedo-Implantatsystem dar. F\u00fcr eine sichere Fusion werden nur 2 Implantate ben\u00f6tigt, die in L\u00e4ngen von 30\u201350\u00a0mm angeboten werden. Das neue Implantatsystem wurde in Pilotstudien auf Wirksamkeit und Biokompatibilit\u00e4t mit guten Resultaten gepr\u00fcft. Zur weiteren Dokumentation f\u00fcr das Torpedo-Implantatsystem wurde eine Vergleichsstudie gegen das iFuse-System durchgef\u00fchrt.<\/jats:p><jats:p>Es wurden 2 unterschiedliche Implantate verwendet: Gruppe 1: Deltacor Torpedo, Gruppe 2: iFuse-Implantate (Si-Bone). Die bei der Aufnahme und bei den nachfolgenden Kontrolluntersuchungen erstellten Daten (VAS, ODI, Opioidverbrauch) wurden in eine zu diesem Zweck eingerichtete Auswertungsdatei eingetragen. Als Nachuntersuchungstermine wurden 1 Monat, 3, 6 und 12 Monate postoperativ festgelegt.<\/jats:p><jats:p>Es wurden die Daten von 65 Patienten vergleichend ausgewertet. Bei allen Vergleichen zeigten sich hinsichtlich der Unterschiede im R\u00fcckgang der Schmerzintensit\u00e4ten nur sehr geringe Effektst\u00e4rken, sodass unter klinischen Aspekten zun\u00e4chst eine gleichwertige Wirksamkeit beider Methoden postuliert werden konnte. Die meisten Patienten beider Gruppen gaben an, vor der Operation Opioide zur Schmerzbehandlung eingenommen zu haben. Entsprechend dem R\u00fcckgang der Schmerzintensit\u00e4t konnte bereits nach der Operation bei einigen Patienten die Opioidbehandlung abgesetzt werden. Nach 12 Monaten verringerte sich die Zahl der mit Opioiden behandelten Patienten in Gruppe 1 auf 23% und in Gruppe 2 auf 17%. Die Erfolge der Fusionen mit beiden Verfahren lassen sich zus\u00e4tzlich an einer Bilddokumentation belegen, aus der auch die Lage der Implantate deutlich erkannt werden kann. In keinem Fall war eine Lockerung festzustellen.<\/jats:p><jats:p>Insgesamt l\u00e4sst die Auswertung dieser Studie das Res\u00fcmee zu, dass beide Implantatsysteme erfolgreich zur Behandlung von Patienten mit ISG-Syndrom eingesetzt werden k\u00f6nnen. In weiteren Vergleichsstudien mit den vorgeschlagenen Auswertungsmethoden sollten die vorliegenden Resultate \u00fcberpr\u00fcft werden.<\/jats:p>","DOI":"10.1055\/a-2188-3398","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T23:42:46Z","timestamp":1700696566000},"page":"592-599","source":"Crossref","is-referenced-by-count":0,"title":["Operative Behandlung von Patienten mit Iliosakralgelenksyndrom: Vergleichsstudie zweier Implantate"],"prefix":"10.1055","volume":"162","author":[{"given":"Theresa","family":"Splitt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Wirbels\u00e4ulenchirurgie, Krankenhaus Mechernich, Mechernich, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Pflugmacher","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Wirbels\u00e4ulenchirurgie, Krankenhaus Mechernich, Mechernich, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Soliman","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Wirbels\u00e4ulenchirurgie, Krankenhaus Mechernich, Mechernich, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany Mohamed","family":"Abd Allah","sequence":"additional","affiliation":[{"name":"Orthopedic and Spine Surgery, Wadi el Neel Military Hospital, Kairo, \u00c4gypten"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudolf","family":"Hering","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesie, Kreiskrankenhaus Mechernich GmbH, Mechernich, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Kasapovic","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum Bonn, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"R\u00f6ssler","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die, Gelenkzentrum Mittelrhein, Koblenz, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernst M. 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