Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-07T10:24:31 RDF description of Infection from an iliosacral screw 16 years postoperatively in demolition derby umpire crushed between 2 cars: a case report - http://repository.healthpartners.com/individual/document-rn31926 35886 JBJS case connector Infection from an iliosacral screw 16 years postoperatively in demolition derby umpire crushed between 2 cars: a case report 20923 13 1 Orthopedics Injuries public 2023-03-02T21:31:05.278-06:00 e22.0060610.2106/jbjs.Cc.22.00606 Surgery document-rn31926 Fractures <p>CASE: A 47-year-old man crushed between 2 cars during a demolition derby, a nonracing North American motorsport, underwent open reduction and internal fixation, iliosacral screw fixation, arterial embolization, and multiple urologic procedures after massive pelvic ring injury, remarkably recovering nearly full function. Sixteen years after injury, he developed an abscess emanating from an iliosacral screw requiring irrigation, debridement, and hardware removal. CONCLUSION: Deep surgical infections from iliosacral screws may present late, even more than 15 years after the original surgery. Obesity, preoperative embolization, diabetes, and urethral injuries are relevant risk factors. Similar patients should have a low threshold for infection workup when presenting with symptoms, even years after surgery.<p>