ArticleArchives of orthopaedic and trauma surgery2023
The radiographic outcome after plating for pubic symphysis diastasis: does it matter clinically?
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Single versus double symphyseal plating in management of tile C1-2 and C1-3 pelvic ring injuries: a randomized controlled trial.BMC surgery · 2025Trial
- Radiographic Changes After Pubic Symphysis Plating and Their Clinical Relevance: An Exploratory Longitudinal Cohort Study.Life (Basel, Switzerland) · 2026Article
- Surgical management and long-term functional outcomes of traumatic pubic symphysis diastasis: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- An Innovative Pubic Symphyseal Plate for the Treatment of Open-Book Injury: A Biomechanical Feasibility Study.Life (Basel, Switzerland) · 2025Article
- Variables associated with loss of reduction after plate fixation of pubic symphysis injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Do we need another screw? Sacroiliac screw fixation in open-book pelvic ring injuries (APC type II).EFORT open reviews · 2024Article
- The clinical relevance of fixation failure after pubic symphysis plating for anterior pelvic ring injuries: an observational cohort study with long-term follow-up.Patient safety in 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
- Reconstruction with 3D-printed prostheses after type I + II + III internal hemipelvectomy: Finite element analysis and preliminary outcomes.Frontiers in bioengineering and biotechnology · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOpen reduction and internal fixation with plates is the most widespread surgery in traumatic pubic symphysis diastasis. However, implant failure or recurrent diastasis was commonly observed during follow-up. The aim of our study was to evaluate the radiologic findings and clinical outcomes. MATERIALS AND
methodsSixty-five patients with traumatic pubic symphysis diastasis treated with plating between 2008 and 2019 were retrospectively reviewed. The exclusion criteria were a history of malignancy and age under 20 years. Radiographic outcomes were determined by radiograph findings, including pubic symphysis distance (PSD) and implant failure. Clinical outcomes were assessed according to the Majeed score at the final follow-up.
resultsTwenty-eight patients were finally included. Nine patients (32%) experienced implant failure, including four (14%) with screw loosening and five (18%) with plate breakage. Only one patient underwent revision surgery. Postoperatively, a significant increase in PSD was observed at 3 months and 6 months. Postoperative PSD was not significantly different between patients with single plating and double plating, but it was significantly greater in the implant-failure group than in the non-failure group. The Majeed score was similar between patients with single plating and double plating or between the implant-failure group and the non-failure group. Body mass index, number of plates, age, and initial injured PSD were not significantly different between the implant-failure group and the non-failure group. Only a significant male predominance was observed in the implant-failure group.
conclusionA gradual increase in the symphysis distance and a high possibility of implant failure may be the distinguishing features of traumatic pubic symphysis diastasis fixation. The postoperative symphyseal distance achieved stability after 6 months, even after implant failure. Radiographic outcomes, such as increased symphysis distance, screw loosening, and plate breakage, did not affect clinical functional outcomes.
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