Comparative Radiographic and Clinical Outcome of Two-Hole and Multi-Hole Symphyseal Plating

Sagi, H. Claude; Papp, Steve

doi:10.1097/bot.0b013e31817e49ee

Cited by 102 publications

(63 citation statements)

References 16 publications

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“…Symphyseal disruption, without soiled open wounds or compromised soft tissues, is often best treated with open plate fixation. Despite the fact that blood loss may be significant in the coagulopathic trauma patient, and fixation failure may occur in up to 20% of patients, 19 this has remained the treatment of choice for this anterior pelvic fracture pattern. When the anterior injury pattern includes pubic rami fractures, particularly ''high'' fractures near the pubic root, surgeons may opt for no anterior pelvic fixation.…”

Section: Discussionmentioning

confidence: 96%

Anterior Pelvic Reduction and Fixation Using a Subcutaneous Internal Fixator

Gardner

Mehta

Mirza

et al. 2012

Journal of Orthopaedic Trauma

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Acute traumatic pelvic instability mandates reduction and mechanical stabilization to maximize the chance of a good functional outcome. Posterior pelvic fixation is frequently inadequate to stabilize the pelvic ring in isolation. Fixation augmentation with anterior pelvic ring implants can take several forms, including plates, medullary screws, or external fixation. Based on a multitude of patient and injury factors, external fixation may be the definitive anterior pelvic implant of choice. However, many drawbacks exist with this treatment, most notably the high infection rates of the transcutaneous pins, impaired patient mobilization, and suboptimal mechanical properties. We present a technique of a subcutaneous anterior pelvic fixator as an alternative method of anterior pelvic ring reduction and stabilization that avoids many of the drawbacks of traditional anterior pelvic external fixation.

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Section: Discussionmentioning

confidence: 96%

Anterior Pelvic Reduction and Fixation Using a Subcutaneous Internal Fixator

Gardner

Mehta

Mirza

et al. 2012

Journal of Orthopaedic Trauma

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“…B. der Symphyse und/oder der Iliosakralfuge mittels Symphysenplatten und/oder transiliosakralen Schrauben, erforderlich war. Aufgrund der physiologischerweise auftretenden belastungsabhängigen Kräfte in der Symphyse kann durch die Osteosynthese nur für eine gewiss Zeit eine relative Stabilität erreicht werden [23]. Daher kommt es erwartungsgemäß bei über 30% der Patienten innerhalb eines Jahres zu einer Auslockerung bzw.…”

Section: Diskussion Und Empfehlung Der Metallentfernung Am Vorderen Uunclassified

Implantatentfernung nach Beckenringfraktur

et al. 2012

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In some cases like external fixation, implant-associated infection, malpositioning, allergic implant reaction, critical soft tissue covering, palpable hardware and consolidated juvenile fractures implant removal is certainly indicated. In patients without symptoms and in patients with trauma-associated symptoms which are not definitely associated with the hardware, the removal should be only indicated after thorough consideration of the risks versus the benefits and additionally by taking the initial injury pattern into account. If despite all these objections the hardware removal has been indicated it should always be considered that hardware removal may be challenging with several possible severe complications.

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“…6 Recently, Sagi and Papp showed in a retrospective clinical study that fixation of the symphysis with a two-hole plate construct resulted in significantly more fixation failure and malunion when compared with a multihole plate construct. 9 Consequently, uniplanar multihole fixation has been the mainstay for plating of a pubic symphyseal disruprtion. 10 The pubic symphysis has inherent physiological motion.…”

Section: Introductionmentioning

confidence: 99%