SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
The relation between surgical approaches for pelvic ring and acetabular fractures and postoperative complications: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06540339 (SnapPelvis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
SnapPelvis: International Prospective Observational Cohort Study of Traumatic Pelvic Ring Injuries
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Indications, complications, and clinical outcomes of fixation and acute total hip arthroplasty for the treatment of acetabular fractures: A systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Functional Outcomes of Surgical Management of Posterior Wall Acetabular Fractures: A Prospective Study.Journal of orthopaedic case reports · 2026Article
- Complication rates following open surgical removal of osteosynthesis material from the pelvis and acetabulum: a retrospective case series of 154 removals.Acta orthopaedica · 2026Article
- Association of prophylactic transcatheter arterial embolization with perioperative blood loss and operative time in complex acetabular fractures: a propensity score-matched retrospective study.Frontiers in medicine · 2026Article
- The PEARL Score for Predicting Postoperative Complication Risk in Patients with Pelvic and Acetabular Fractures: Development of a Novel Comprehensive Risk Scoring System.Medicina (Kaunas, Lithuania) · 2025Article
- Is the both column fixation corridor a universally valid and consistent fixation pathway in pelvic and acetabular surgery?Journal of orthopaedic surgery and research · 2025Article
- Epidemiological (secular) trends of pelvic and acetabular fractures (2006-2022) in South Korea using a nationwide cohort data over ages 50: is it osteoporosis related?Archives of osteoporosis · 2025Article
- Preventing complications during acetabular fracture surgery, a review.Journal of clinical orthopaedics and trauma · 2025Review
- Anterior subcutaneous internal fixator (INFIX) versus plate fixation for anterior ring injury in Tile C pelvic fractures: a retrospective study.BMC surgery · 2025Article
- Advances in Managing Pelvic Fractures in Polytrauma: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Combined pelvic ring and acetabular fractures - strategies and sequence of surgery. State of the art.Archives of orthopaedic and trauma surgery · 2024Review
- Primary stability of multi-hole acetabular cup combined with posterior column plating for the fixation of complex acetabular fractures in elderly patients: a biomechanical analysis.Archives of orthopaedic and trauma surgery · 2024Article
- Late surgical correction after complex unstable pelvic fracture 61 C3 (OTA/AO) of an 18-year-old woman.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Article
- Percutaneous hollow nail internal fixation treatment for fractures of the pubic symphysis and its adjacent areas.Frontiers in surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough many articles report complications after pelvic ring and acetabular fracture surgery, a general overview of complication rates and potential risk factors is lacking. The current review provides a comprehensive summary of the complications after pelvic ring and acetabular fracture surgery in relation to the surgical approach. MATERIAL AND
methodsPubmed and Embase databases were systematically searched using the key words: pelvic fracture, acetabular fracture, fixation, surgical approaches, complications, and their synonyms. Extracted data included patient and fracture characteristics, surgical approaches, and post-operative complications; surgical site infections (SSI), implant-related complications, malunion and non-union. Study data were summarized using descriptive statistics.
resultsTwenty-two studies (twenty-one retrospective cohort studies, of which three comparative, and one randomized controlled trial) were included in this review. The overall complication rates reported for the included surgical approaches were: 17% for the (Modified) Stoppa approach, 11% for percutaneous fixation, 5% for the Kocher-Langenbeck approach, 7% for the ilioinguinal approach and 31% for external fixation. The most frequent complications were SSI (22%) and neurological (31%) complications, which were most often reported in patients treated with an external fixator. Re-operation rates were comparable for the surgical approaches (4-8%). Two studies reported on risk factors and identified concomitant traumatic injuries, prolonged ICU stay and high body mass index as risk factors for SSI.
conclusionExternal fixation of pelvic fractures is associated with highest complications rates including SSI's and neurological complications. Although post-operative complications are frequently reported after pelvic fracture surgery, more studies are needed that identify potential risk factors. These will assist the surgeon in (pre)operative decision making and development of preventive strategies.
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