Evidence map›Paper›PMID 40522490›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Minimally invasive stabilization of the anterior pelvic ring in fragility fractures using a submuscularly implanted internal fixator - a retrospective case series of 34 geriatric patients.

Julia Lenz, Carmie Schneider, Ludwig Oberkircher, Vanessa Ketter, Tom Knauf, Steffen Ruchholtz, Juliana Hack

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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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

3 citing papers in PubMed.

  1. Article
  2. Predictors of long- term survival after pelvic ring fractures in geriatric patients - five-year results of a prospective observational study of 134 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  3. Article
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

7 authors.

Julia LenzMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany. lenzju@med.uni-marburg.de.
Carmie SchneiderOrthopaedic and Trauma Surgery, Lahn-Dill Clinics, Wetzlar, Germany.
Ludwig OberkircherDepartment for Trauma Surgery, Orthopaedic Surgery and Arthroplasty, Medizin Campus Bodensee, Friedrichshafen, Germany.
Vanessa KetterMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.
Tom KnaufOrthopaedics and Trauma Surgery, Helios Hospital Kassel, Kassel, Germany.
Steffen RuchholtzMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.
Juliana HackMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVarious surgical techniques for osteosynthesis in fragility fractures of the pelvis (FFP) are described. Since 2012, a submuscularly placed internal fixator has been used to stabilize the anterior pelvic ring. Indications for this procedure are a dislocation in the anterior pelvic ring and/or severe pain with associated immobility. This technique potentially has several advantages compared to subcutaneous procedures, including improved patient comfort, less irritation, and enhanced biomechanical stability due to the deeper rod placement.

methodsDigital files of patients aged ≥ 65 years, who were treated with an internal fixator at a Level I trauma center in Germany between 2012 and 2021, were retrospectively analyzed.

resultsThirty-four patients (median age 79 years, 77% female, 61.8% ASA III) were treated. Most fractures were caused by ground-level falls (64.7%), followed by road traffic accidents (11.8%). In patients with low impact trauma, the most common fracture types were FFP IIb (37.04%) and FFP IIIc (18.52%). Complications during surgery occurred in 4 patients (11.76%) and postoperative complications in 6 patients (17.6%), with hematoseroma being the most common. Non-surgical complications occurred in 20 patients (total: 58.8%; Clavien-Dindo type 2 in 70%). After 12 months, the majority of all patients had the same mobility level as before the fracture.

conclusionThe submuscularly placed internal fixator is an effective technique for stabilizing anterior pelvic ring fractures in geriatric patients, offering advantages in cases of high dorsoventral instability or persistent severe anterior pain.

Indexed as

Fracture Fixation, InternalInternal FixatorsMinimally Invasive Surgical ProceduresOsteoporotic FracturesPelvic BonesAgedAged, 80 and overFemaleGermanyHumansMalePostoperative ComplicationsRetrospective StudiesAnterior pelvic ring fracturesFragility fractures of the pelvisGeriatric patientsInternal fixationMinimally invasive technique

Identifiers

PMID40522490
PMCPMC12170753

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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.