Evidence map›Paper›PMID 41333998›Full record

ArticleTrauma case reports2025

Percutaneous closed reduction for locked pubic symphysis using a modified subcristal external fixator: A case report.

Shuya Nohmi, Kazuki Oyama, Junichi Hamazaki, Takumi Hirabayashi, Kenji Kobayashi, Fumihiko Eto, Junichiro Morita, Takeshi Ogawa

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Trauma case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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5 · Who and what money

Authors and funding

8 authors.

Shuya NohmiDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Kazuki OyamaDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Junichi HamazakiDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Takumi HirabayashiDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Kenji KobayashiDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Fumihiko EtoDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Junichiro MoritaDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.
Takeshi OgawaDepartment of Orthopaedic Surgery, National Hospital Organization Mito Medical Center, 280 Sakuranosato, Ibaraki-machi, Higashiibaraki-gun, Ibaraki, 311-3193, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A locked pubic symphysis is a variant of lateral compression pelvic ring injury, characterized by the overlap of one pubis over the contralateral pubis. One challenge with locked pubic symphysis is the difficulty of achieving closed reduction. In this report, we present a case of a 17-year-old boy who sustained a locked pubic symphysis and was successfully treated with percutaneous reduction using a modified subcristal external fixator. After failed manual closed reduction, 5 mm pins were inserted 3 cm away from the anterior superior iliac spine to prevent injury to the lateral femoral cutaneous nerve. The pins were advanced through the iliac crest until bicortical fixation was achieved. For percutaneous closed reduction, the pins were used as joysticks to manipulate the hemipelvis, successfully achieving reduction. Percutaneous closed reduction using a modified subcristal external fixator for locked pubic symphysis is a less invasive alternative to conventional open reduction following failed closed reduction. It carries a lower risk of complications, such as nerve injury, and is worth attempting before resorting to open reduction.

Indexed as

Closed reductionLocked pubic symphysisPercutaneousSubcristal external fixator

Identifiers

PMID41333998
PMCPMC12666023

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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.