Evidence map›Paper›PMID 38634937›Full record

ArticleInternational orthopaedics2024

Laparoscopic treatment of fourteen cases of pelvic ring disruption: a case series.

Mathieu Vinet, Dylan Moullac, Guillaume David, Tristan Segalen, Caroline Lucas, Frédéric Dubrana, Hoel Letissier, Rémi Di Francia

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06634082 (Total Extraperitoneal Approach in Orthopedic Surgery), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06634082 completednot on this map

Total Extraperitoneal Approach in Orthopedic Surgery (O-TEP); Preliminary Clinical Outcomes of Symphysial Plating in Fifteen Cases: A Case Series'

TypeobservationalSponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2022 to 2024Enrolled15ConditionsPubic Symphysis Diastasis
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Plating of the Pelvis and Acetabulum via the Laparoscopic Technique: An Alternative Method for ORIF.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  2. Expanding minimally invasive horizons for pubic symphysis diastasis: The laparoscopic total extraperitoneal approach in orthopedic surgery (O-TEP).Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mathieu VinetService de Chirurgie Orthopédique Et de Traumatologie, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Dylan MoullacService de Chirurgie Orthopédique Et de Traumatologie, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Guillaume DavidService de Chirurgie Orthopédique Et Traumatologie, CHU d'Angers, 49000, Angers, France.
Tristan SegalenService de Chirurgie Urologique, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Caroline LucasService de Chirurgie Urologique, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Frédéric DubranaService de Chirurgie Orthopédique Et de Traumatologie, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Hoel LetissierService de Chirurgie Orthopédique Et de Traumatologie, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France.
Rémi Di FranciaService de Chirurgie Orthopédique Et de Traumatologie, CHRU Brest Cavale Blanche, Boulevard Tanguy Prigent, 29200, Brest, France. remi.difrancia.pro@gmail.com.
Centre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire d'Angers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOpen surgical approaches for the treatment of anterior pelvic arc lesions are associated with several complications. We present the first retrospective descriptive case series on the use of laparoscopy as an alternative.

methodsThis descriptive, retrospective, single-centre study enrolled all patients who underwent laparoscopy for the treatment of pelvic ring disruption between May 2020 and March 2022. The primary outcome was the procedure failure rate based on conversion to open surgery. Secondary outcomes were the duration of the surgical procedure, x-ray exposure, length of hospitalisation, postoperative pain assessment, and functional scores at the last follow-up.

resultsThe study included two females and 12 males. The mean age of the study participants was 44.2 (23-67) years. In total, nine (64.3%) patients had pubic symphysis disjunction, four (28.6%) had bilateral fractures of the obturator frames, and one (7%) had both. None of the patients required conversion to open surgery. The median operating times for symphysis pubis disruption, obturator frame fracture, and patients with both injuries were 90.0 (60-120), 135 (105-180), and 240 min, respectively. The median overall operating time was 102.5 (60-240) min. The median Iowa Pelvic Score and Majeed Functional Score at the last follow-up were 87 (70-99) and 84 (70-100), respectively.

conclusionLaparoscopic internal fixation is a reliable treatment for pelvic ring disruption. The clinical and radiological outcomes of our patients suggest the usefulness of this technique as an alternative to open approaches.

Indexed as

Fractures, BoneLaparoscopyPelvic BonesAdultAgedFemaleFracture Fixation, InternalHumansMaleMiddle AgedOperative TimePubic SymphysisRetrospective StudiesTreatment OutcomeYoung AdultCase seriesLaparoscopyPelvic ring injuryPlate fixationTrauma surgery

Identifiers

PMID38634937
OpenAlexW4394920573

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.