Evidence map›Paper›PMID 41398256›Full record

ArticleBMC surgery2025

Pararectus vs. lateral window approach in AO B2.2 pelvic fractures: impact on short-term functional outcomes.

Shu-Chen Liao, Ping-Jui Tsai, Chang-Heng Liu, Yung-Heng Hsu, Ying-Chao Chou, Yi-Hsun Yu

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shu-Chen LiaoDepartment of Orthopedic Surgery, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), 236017, No. 6, Sec. 2, Jincheng Rd., Tucheng Dist., New Taipei City, Taiwan.
Ping-Jui TsaiDepartment of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University and Medical College, 5, Fu-Hsin St. Kweishan Dist., Taoyuan, 33302, Taiwan.
Chang-Heng LiuDepartment of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University and Medical College, 5, Fu-Hsin St. Kweishan Dist., Taoyuan, 33302, Taiwan.
Yung-Heng HsuDepartment of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University and Medical College, 5, Fu-Hsin St. Kweishan Dist., Taoyuan, 33302, Taiwan.
Ying-Chao ChouDepartment of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University and Medical College, 5, Fu-Hsin St. Kweishan Dist., Taoyuan, 33302, Taiwan.
Yi-Hsun YuDepartment of Orthopedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Chang Gung University and Medical College, 5, Fu-Hsin St. Kweishan Dist., Taoyuan, 33302, Taiwan. alanyu1007@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal surgical approach for managing AO type B2.2 pelvic ring injuries remains a topic of debate. This retrospective cohort study aimed to compare perioperative, radiographic, and short-term functional outcomes between the pararectus (P group) and lateral window (L group) approaches.

methodsA total of 65 patients (27 in the P group, 38 in the L group) treated between 2017 and 2021 were evaluated. Postoperative pelvic symmetry and fracture gap reduction were assessed using the Matta/Tornetta criteria, Lefaivre criteria, inlet/outlet ratios, and multiplanar computed tomography. Functional recovery was measured using the Merle d'Aubigné hip score and Majeed pelvic score at 3, 6, and 12 months postoperatively.

resultsRadiographic parameters and fracture gap reduction were similar between the groups. However, the P group demonstrated significantly greater improvements in functional scores at all time points (p < 0.01).

conclusionOur findings suggest that while both approaches provide satisfactory radiological outcomes, the pararectus approach may facilitate superior short-term functional recovery in patients with AO B2.2 pelvic ring injuries.

Indexed as

Fracture Fixation, InternalFractures, BonePelvic BonesAdultFemaleHumansMaleMiddle AgedRecovery of FunctionRetrospective StudiesTreatment OutcomeCrescent fractureIlioinguinal approachLateral windowPararectus approachPelvic ring injurySurgical outcome

Identifiers

PMID41398256
PMCPMC12821842

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