ArticleCommunications medicine2022
Development and preclinical evaluation of a cable-clamp fixation device for a disrupted pubic symphysis.
Article in Communications medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Exploratory Biomechanical Comparison of Three Posterior Pelvic Ring Fixation Strategies in a Standardized Tile C1.2 Synthetic Model.Diagnostics (Basel, Switzerland) · 2026Article
- Delayed migration of orthopedic screw into the bladder following pelvic fracture fixation.Trauma case reports · 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
- Motion preservation for open book injuries of the pubic symphysis -a biomechanical cadaver study.Archives of orthopaedic and trauma surgery · 2024Article
Corrections and comments
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundTraumatic separation of the pubic symphysis can destabilize the pelvis and require surgical fixation to reduce symphyseal gapping. The traditional approach involves open reduction and the implantation of a steel symphyseal plate (SP) on the pubic bone to hold the reposition. Despite its widespread use, SP-fixation is often associated with implant failure caused by screw loosening or breakage.
methodsTo address the need for a more reliable surgical intervention, we developed and tested two titanium cable-clamp implants. The cable served as tensioning device while the clamp secured the cable to the bone. The first implant design included a steel cable anterior to the pubic symphysis to simplify its placement outside the pelvis, and the second design included a cable encircling the pubic symphysis to stabilize the anterior pelvic ring. Using highly reproducible synthetic bone models and a limited number of cadaver specimens, we performed a comprehensive biomechanical study of implant stability and evaluated surgical feasibility.
resultsWe were able to demonstrate that the cable-clamp implants provide stability equivalent to that of a traditional SP-fixation but without the same risks of implant failure. We also provide detailed ex vivo evaluations of the safety and feasibility of a trans-obturator surgical approach required for those kind of fixation.
conclusionWe propose that the developed cable-clamp fixation devices may be of clinical value in treating pubic symphysis separation.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.