ArticleScientific reports2021
Trans-obturator cable fixation of open book pelvic injuries.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Development of a pelvic musculoskeletal model based on statistical shape modelling for estimating sacroiliac and pubic joint reaction forces in females.Biomechanics and modeling in mechanobiology · 2026Article
- Biomechanical comparison of a new minimally invasive technique versus conventional plating for the treatment of open book symphyseal injuries in osteoporotic human pelvises.Journal of experimental orthopaedics · 2026Article
- An Innovative Pubic Symphyseal Plate for the Treatment of Open-Book Injury: A Biomechanical Feasibility Study.Life (Basel, Switzerland) · 2025Article
- 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
- Motion preservation for open book injuries of the pubic symphysis -a biomechanical cadaver study.Archives of orthopaedic and trauma surgery · 2024Article
- Symphyseal plating for pelvic fracture in a morbidly obese patient: operative challenges and innovation of a novel 'wire-ramp plate-sliding method'.BMJ case reports · 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
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Operative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturator cable fixation versus plating through biomechanical testing and evaluates safety in a cadaver experiment. APC type II injuries were generated in synthetic pelvic models and subsequently separated into three different groups. The anterior pelvic ring was fixed using a four-hole steel plate in Group A, a stainless steel cable in Group B, and a titan band in Group C. Biomechanical testing was conducted by a single-leg-stance model using a material testing machine under physiological load levels. A cadaver study was carried out to analyze the trans-obturator surgical approach. Peak-to-peak displacement, total displacement, plastic deformation and stiffness revealed a tendency for higher stability for trans-obturator cable/band fixation but no statistical difference to plating was detected. The cadaver study revealed a safe zone for cable passage with sufficient distance to the obturator canal. Trans-obturator cable fixation has the potential to become an alternative for symphyseal fixation with less complications.
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