ArticleJournal of clinical medicine2021
Biomechanical Comparison of Five Fixation Techniques for Unstable Fragility Fractures of the Pelvic Ring.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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.
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Who cites it
20 citing papers in PubMed, 36 citations in OpenAlex.
- Sacroiliac versus transiliac-transsacral screw osteosynthesis in osteoporotic pelvic fractures: a biomechanical comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Trial
- Retrograde locked nailing of pubic ramus fractures: a technical note.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Percutaneous fixation of posterior pelvic ring lesions in the elderly: current evidence and recent advances.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Review and First Study of a Single-Port Robot in Pelvic Traumatology.Journal of clinical medicine · 2025Review
- Triangular Screw Placement to Treat Dysmorphic Sacral Fragility Fractures in Osteoporotic Bone Results in an Equivalent Stability to Cement-Augmented Sacroiliac Screws-A Biomechanical Cadaver Study.Journal of clinical medicine · 2025Article
- Minimally invasive screw fixation of the anterior pelvic ring and the distal ilium : Tips and tricks to be successful.Operative Orthopadie und Traumatologie · 2025Review
- Angular stable plate fixation provides favorable biomechanical stability in simulated T-shaped acetabular fractures: a biomechanical study.Acta orthopaedica · 2024Article
- Implantation of S1AIS has priority as a sacroiliac joint fixation technique.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Lumbopelvic Stabilization with Two Methods of Triangular Osteosynthesis: A Biomechanical Study.Journal of clinical medicine · 2024Article
- Long-Term Follow-Up after Iliosacral Screw Fixation of Unstable Pelvic Ring Fractures.Journal of clinical medicine · 2024Article
- Stabilization of Traumatic Iliosacral Instability Using Innovative Implants: A Biomechanical Comparison.Journal of clinical medicine · 2023Article
- Clinical Guidelines for the Diagnosis and Treatment of Fragility Fractures of the Pelvis.Orthopaedic surgery · 2023Article
- Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 2023Article
- FFP: Indication for minimally invasive navigation technique.Trauma case reports · 2023Article
- A retrospective analysis of minimally invasive internal fixation versus nonoperative conservative management of pelvic ring fragility fractures and the elderly.Journal of orthopaedic surgery and research · 2023Article
- Progression to Rommens type IIIa fragility fracture of the pelvis managed by delayed open reduction and interdigitating screw fixation: A case report.Trauma case reports · 2023Article
- Development and preclinical evaluation of a cable-clamp fixation device for a disrupted pubic symphysis.Communications medicine · 2022Article
- The grade of instability in fragility fractures of the pelvis correlates with impaired early mobilization.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Fragility Fractures of the Pelvis and Sacrum: Current Trends in Literature.Hip & pelvis · 2022Review
- Does Cement Augmentation of the Sacroiliac Screw Lead to Superior Biomechanical Results for Fixation of the Posterior Pelvic Ring? A Biomechanical Study.Medicina (Kaunas, Lithuania) · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncidence of pelvic ring fractures has increased over the past four decades, especially after low-impact trauma-classified as fragility fractures of the pelvis (FFP). To date, there is a lack of biomechanical evidence for the superiority of one existing fixation techniques over another. An FFP type IIc was simulated in 50 artificial pelvises, assigned to 5 study groups: Sacroiliac (SI) screw, SI screw plus supra-acetabular external fixator, SI screw plus plate, SI screw plus retrograde transpubic screw, or S1/S2 ala-ilium screws. The specimens were tested under progressively increasing cyclic loading. Axial stiffness and cycles to failure were analysed. Displacement at the fracture sites was evaluated, having been continuously captured via motion tracking.
resultsFixation with SI screw plus plate and SI screw plus retrograde transpubic screw led to higher stability than the other tested techniques. The S1/S2 ala-ilium screws were more stable than the SI screw or the SI screw plus external fixator.
conclusionsIn cases with displaced fractures, open reduction and plate fixation provides the highest stability, whereas in cases where minimally invasive techniques are applicable, a retrograde transpubic screw or S1/S2 ala-ilium screws can be considered as successful alternative treatment options.
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