Evidence map›Paper›PMID 39690266›Full record

ArticleOperative Orthopadie und Traumatologie2025

[Treatment of acetabular fractures with the two-incision minimally invasive (TIMI) approach].

S Ruchholtz

Abstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Operative Orthopadie und Traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

S RuchholtzZentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstr., 35043, Marburg, Deutschland. ruchholt@med.uni-marburg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe present the two-incision minimally invasive (TIMI) approach for the treatment of anterior acetabular fractures. INDICATIONS: Displaced fractures of the anterior column of the acetabulum; complex fractures of the acetabulum in combination with the posterior approach (Kocher-Langenbeck); periprosthetic fractures of the acetabulum with or without additional revision of the cup. CONTRAINDICATIONS: Possibly previous extended surgery in the anatomical region of the approach. SURGICAL TECHNIQUE: The first TIMI incision is performed by an alternate cut through at the level of the proximal third of the pelvic brim. After transection of the abdominal wall, the iliac vessels are mobilized medially and the neuromuscular bundle laterally. The second approach lies above the medial pubic bone. The soft tissue is held using a retraction system. After fracture reduction and fixation by isolated screws, a reconstruction plate is inserted for fracture neutralization. POSTOPERATIVE MANAGEMENT: Depending on the fracture type and the severity of the damage to the acetabular dome, the involved extremity is allowed partial weight bearing for 6 weeks to 3 months.

resultsIn our experience, a relatively short operation time of approximately 1.5-2 h for acetabular osteosynthesis. Wound infections and revisions are very rare. Radiological follow-up shows an anatomical result in over 75% of cases. The 24-month follow-up examination shows a Harris Hip Score of over 85 points. The quality of life measured by the EQ 5D is comparable to the quality of life of a normal collective of the same age.

Indexed as

AcetabulumFracture Fixation, InternalFractures, BoneMinimally Invasive Surgical ProceduresBone PlatesBone ScrewsHumansPostoperative ComplicationsTreatment OutcomeAcetabular fractureAnterior columnMinimally invasive approachPeriprosthetic acetabular fracture

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.