ArticlePatient safety in surgery2024
The clinical relevance of fixation failure after pubic symphysis plating for anterior pelvic ring injuries: an observational cohort study with long-term follow-up.
Article in Patient safety in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- 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
- 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
- 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
- Porous threaded titanium implant screws have higher insertional torque compared to standard screws.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Variables associated with loss of reduction after plate fixation of pubic symphysis injuries.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen reduction and plate fixation is a standard procedure for treating traumatic symphyseal disruptions, but has a high incidence of implant failure. Several studies have attempted to identify predictors for implant failure and discussed its impact on functional outcome presenting conflicting results. Therefore, this study aimed to identify predictors of implant failure and to investigate the impact of implant failure on pain and functional outcome.
methodsIn a single-center, retrospective, observational non-controlled cohort study in a level-1 trauma center from January 1, 2006, to December 31, 2017, 42 patients with a plate fixation of a traumatic symphyseal disruption aged ≥ 18 years with a minimum follow-up of 12 months were included. The following parameters were examined in terms of effect on occurrence of implant failure: age, body mass index (BMI), injury severity score (ISS), polytrauma, time to definitive treatment, postoperative weight-bearing, the occurrence of a surgical site infection, fracture severity, type of posterior injury, anterior and posterior fixation. A total of 25/42 patients consented to attend the follow- up examination, where pain was assessed using the Numerical Rating Scale and functional outcome using the Majeed Pelvic Score.
resultsSixteen patients had an anterior implant failure (16/42; 37%). None of the parameters studied were predictive for implant failure. The median follow-up time was six years and 8/25 patients had implant failure. There was no difference in the Numerical Rating Scale, but the work-adjusted Majeed Pelvic Score showed a better outcome for patients with implant failure.
conclusionimplant failure after symphyseal disruptions is not predictable, but appears to be clinically irrelevant. Therefore, an additional sacroiliac screw to prevent implant failure should be critically discussed and plate removal should be avoided in asymptomatic patients.
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