Evidence map›Paper›PMID 31881914›Full record

ArticleJournal of orthopaedic surgery and research2019

Tape suture for stabilization of incomplete posterior pelvic ring fractures-biomechanical analysis of a new minimally invasive treatment for incomplete lateral compression pelvic ring fractures.

Christopher Alexander Becker, Adrian Cavalcanti Kussmaul, Eduardo Manuel Suero, Markus Regauer, Matthias Woiczinski, Christian Braun, Wilhelm Flatz, Oliver Pieske, Christian Kammerlander, Wolfgang Boecker and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  4. Comparative Analysis of Surgery Using Combined Iliac Lumbar and Posterior Closed Screws for Pelvic Stability Maintenance.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  5. Substitutional semi-rigid osteosynthesis technique for treatment of unstable pubic symphysis injuries: a biomechanical study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Christopher Alexander BeckerDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Adrian Cavalcanti KussmaulDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Eduardo Manuel SueroDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Markus RegauerDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Matthias WoiczinskiDepartment of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital, LMU Munich, Munich, Germany.
Christian BraunDepartment of Legal and Forensic Medicine, University Hospital, LMU Munich, Munich, Germany.
Wilhelm FlatzDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Oliver PieskeDepartment of Trauma Surgery, Evangelic Hospital Oldenburg, Oldenburg, Germany.
Christian KammerlanderDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Wolfgang BoeckerDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.
Axel GreinerDepartment of General, Trauma and Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany. Axel.greiner@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DEEvangelisches Krankenhaus Oldenburg · DE

Funding

Medizinischen Fakultät, Ludwig-Maximilians-Universität München (DE) FöFoLe Nr 935
6 · The paper itself

Abstract

backgroundIncomplete lateral compression fractures (including AO Type B2.1) are among the most common pelvic ring injuries. Although the treatment of choice remains controversial, sacroiliac (SI) screws are commonly used for the operative treatment of incomplete lateral compression fractures of the pelvic ring. However, the disadvantages of SI screws include the risk of nerve root or blood vessel injury. Recently, tape sutures have been found useful as stabilizing material for the treatment of injuries of the syndesmosis, the rotator cuff and knee ligaments. In this current study, we aimed to test the biomechanical feasibility of tape sutures to stabilize the pelvis in the setting of AO Type B2.1 injury.

methodsSix human cadaveric pelvises underwent cyclic loading to compare the biomechanical stability of different osteosynthesis methods in a B2.1 fracture model. The methods tested in this experiment were a FiberTape® suture and the currently established SI screw. A 3D ultrasound tracking system was used to measure fracture fragment motion. Linear regression was used to model displacement and stiffness at the posterior and anterior pelvic ring.

resultsAt the posterior fracture site, the FiberTape® demonstrated similar displacement (2.2 ± 0.8 mm) and stiffness (52.2 ± 18.0 N/mm) compared to the sacroiliac screw (displacement 2.1 ± 0.6 mm, P >  0.999; stiffness 50.8 ± 13.0 N/mm, P > 0.999). Considering the anterior fracture site, the FiberTape® again demonstrated similar displacement (3.8 ± 1.3 mm) and stiffness (29.5 ± 9.0 N/mm) compared to the sacroiliac screw (displacement 2.9 ± 0.8 mm, P = 0.2196; stiffness 37.5 ± 11.5 N/mm, P = 0.0711).

conclusionThe newly presented osteosynthesis, the FiberTape®, shows promising results for the stabilization of the posterior pelvic ring in AO Type B2.1 lateral compression fractures compared to a sacroiliac screw osteosynthesis based on its minimal-invasiveness and the statistically similar biomechanical properties.

Indexed as

Surgical TapeSuturesAdultAgedBiomechanical PhenomenaBone ScrewsCadaverFractures, BoneFractures, CompressionHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresOrthopedic ProceduresPelvic Bones

Identifiers

PMID31881914
PMCPMC6935107
OpenAlexW2996961233

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.