ArticleDer Unfallchirurg2020
[Outcome after plate stabilization of symphyseal diastasis].
Article in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Selective Anterior Fixation for Rami Fractures in Anteroposterior Compression-Type Pelvic Ring Injuries: Impact of Posterior Stability.Journal of clinical medicine · 2026Article
- Transobturator-cable-fixation in pelvic ring injuries with symphyseal disruption - a last resort?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Do we need another screw? Sacroiliac screw fixation in open-book pelvic ring injuries (APC type II).EFORT open reviews · 2024Article
- Motion preservation for open book injuries of the pubic symphysis -a biomechanical cadaver study.Archives of orthopaedic and trauma surgery · 2024Article
- 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 · 2023Article
- Tape suture constructs for instabilities of the pubic symphysis: is the idea of motion preservation a suitable treatment option? A cadaver study.Archives of orthopaedic and trauma surgery · 2023Article
- Development and preclinical evaluation of a cable-clamp fixation device for a disrupted pubic symphysis.Communications medicine · 2022Article
- Does augmentation increase the pull-out force of symphyseal screws? A biomechanical cadaver study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- How relevant is lumbar bone mineral density for the stability of symphyseal implants? A biomechanical cadaver study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Trans-obturator cable fixation of open book pelvic injuries.Scientific reports · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeparation of the pubic symphysis with corresponding diastasis can be stabilized by symphyseal plating.
objectiveWhich pelvic injuries are stabilized with symphyseal plating and what is their outcome? MATERIAL AND
methodsA retrospective evaluation of 64 patients who underwent symphyseal plating over a period of 24 months was conducted.
resultsOf the patients 56 were male and 8 female with a mean age of 44 years (SD ± 17 years). The main cause of the pelvic injuries were traffic accidents. The distribution according to the AO fracture classification was 14 × B1, 10 × B2, 5 × B3, 23 × C1, 9 × C2 and 3 × C3 injuries. The distribution according to the Young and Burgess classification showed 9 × APC I, 18 × APC II, 13 × APC III, 9 × LC I, 3 × LC II, 2 × LC III and 10 × VS injuries. The mean Injury Severity Score (ISS) was 32 (SD ± 17) and the mean inpatient stay was 29 days (SD ± 16 days; positive correlation p ≤ 0.001). Radiological implant loosening occurred in 52 patients. 14 patients required treatment for severe complications. The leading reason for revision surgery was implant failure (n = 8).
conclusionThese observations suggest that radiological signs of implant loosening are commonly observed but rarely the reason for revision surgery. Complete implant failures, however; occur mainly within the first postoperative weeks and require early revision. A timely clarification by additional X-ray imaging should be carried out if this is suspected.
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