Evidence map›Paper›PMID 41560967›Full record

ArticleJournal of experimental orthopaedics2026

Biomechanical comparison of a new minimally invasive technique versus conventional plating for the treatment of open book symphyseal injuries in osteoporotic human pelvises.

Tobias Fritz, Jeremy Briem, Marcel Orth, Laura Mettelsiefen, Jonas Stroeder, Alexa J Fischer, Emmanouil Liodakis, Tim Pohlemann, Antonius Pizanis, David B Osche

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Tobias FritzDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.ORCID https://orcid.org/0000-0003-2007-0404
Jeremy BriemDepartment of Trauma and Reconstructive Surgery BG Hospital Tübingen Tübingen Germany.
Marcel OrthDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
Laura MettelsiefenDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
Jonas StroederDepartment of Diagnostic and Interventional Radiology Saarland University Medical Center Homburg Germany.
Alexa J FischerDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
Emmanouil LiodakisDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
Tim PohlemannDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
Antonius PizanisDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.
David B OscheDepartment of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany.ORCID https://orcid.org/0009-0009-0969-7610

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Traumatic open book injuries of the pubic symphysis require stable fixation while minimizing surgical morbidity. Traditional symphyseal plating is associated with complications such as implant failure and infections. This study aims to evaluate the biomechanical performance of a novel minimally invasive technique using an internal fixator (IF) compared to conventional plating (symphyseal locking dynamic compression plate [SLDCP]) in human cadaveric pelvises. Methods: Ten human cadaveric pelvises were assigned to two groups ( Results: At key loading stages (400 and 600 N), the IF group demonstrated significantly higher intrasymphyseal compression forces (IF 61.78 ± 31.98 N vs. SLDCP 15.98 ± 8.2 N at 400 N and IF 42.82 ± 25.2 N vs. SLDCP 9.42 ± 5.81 N at 600 N) and larger contact areas (IF 453 ± 137.6 mm Conclusion: The proposed technique using an internal fixator provided superior biomechanical stability compared to standard plating, offering a promising minimally invasive alternative for managing open book injuries. The technique facilitates uniform force transmission and improved contact conditions, which may enhance healing and reduce complications. Level of Evidence: N/A.

Indexed as

biomechanical analysisinternal fixatoropen book injuriespelvic ring fracturespubic symphysis

Identifiers

PMID41560967
PMCPMC12814214

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Registered trials

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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.