Martin C Jordan1, Veronika Jäckle2, Sebastian Scheidt3, Lars Eden2, Fabian Gilbert2, Timo M Heintel2, Hendrik Jansen2, Rainer H Meffert2. 1. Klinik und Poliklinik für Unfall‑, Hand‑, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 8, 97080, Würzburg, Deutschland. Jordan_M@ukw.de. 2. Klinik und Poliklinik für Unfall‑, Hand‑, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 8, 97080, Würzburg, Deutschland. 3. Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.
Abstract
BACKGROUND: Separation of the pubic symphysis with corresponding diastasis can be stabilized by symphyseal plating. OBJECTIVE: Which pelvic injuries are stabilized with symphyseal plating and what is their outcome? MATERIAL AND METHODS: A retrospective evaluation of 64 patients who underwent symphyseal plating over a period of 24 months was conducted. RESULTS: Of the patients 56 were male and 8 female with a mean age of 44 years (SD ± 17 years). The main cause of the pelvic injuries were traffic accidents. The distribution according to the AO fracture classification was 14 × B1, 10 × B2, 5 × B3, 23 × C1, 9 × C2 and 3 × C3 injuries. The distribution according to the Young and Burgess classification showed 9 × APC I, 18 × APC II, 13 × APC III, 9 × LC I, 3 × LC II, 2 × LC III and 10 × VS injuries. The mean Injury Severity Score (ISS) was 32 (SD ± 17) and the mean inpatient stay was 29 days (SD ± 16 days; positive correlation p ≤ 0.001). Radiological implant loosening occurred in 52 patients. 14 patients required treatment for severe complications. The leading reason for revision surgery was implant failure (n = 8). CONCLUSION: These observations suggest that radiological signs of implant loosening are commonly observed but rarely the reason for revision surgery. Complete implant failures, however; occur mainly within the first postoperative weeks and require early revision. A timely clarification by additional X-ray imaging should be carried out if this is suspected.
BACKGROUND: Separation of the pubic symphysis with corresponding diastasis can be stabilized by symphyseal plating. OBJECTIVE: Which pelvic injuries are stabilized with symphyseal plating and what is their outcome? MATERIAL AND METHODS: A retrospective evaluation of 64 patients who underwent symphyseal plating over a period of 24 months was conducted. RESULTS: Of the patients 56 were male and 8 female with a mean age of 44 years (SD ± 17 years). The main cause of the pelvic injuries were traffic accidents. The distribution according to the AO fracture classification was 14 × B1, 10 × B2, 5 × B3, 23 × C1, 9 × C2 and 3 × C3 injuries. The distribution according to the Young and Burgess classification showed 9 × APC I, 18 × APC II, 13 × APC III, 9 × LC I, 3 × LC II, 2 × LC III and 10 × VS injuries. The mean Injury Severity Score (ISS) was 32 (SD ± 17) and the mean inpatient stay was 29 days (SD ± 16 days; positive correlation p ≤ 0.001). Radiological implant loosening occurred in 52 patients. 14 patients required treatment for severe complications. The leading reason for revision surgery was implant failure (n = 8). CONCLUSION: These observations suggest that radiological signs of implant loosening are commonly observed but rarely the reason for revision surgery. Complete implant failures, however; occur mainly within the first postoperative weeks and require early revision. A timely clarification by additional X-ray imaging should be carried out if this is suspected.
Authors: Adrian Cavalcanti Kußmaul; Fanny Schwaabe; Manuel Kistler; Maximilian Jörgens; Korbinian F Schreyer; Axel Greiner; Wolfgang Böcker; Christopher A Becker Journal: Arch Orthop Trauma Surg Date: 2022-07-13 Impact factor: 2.928
Authors: Fanny Schwaabe; Johannes Gleich; Christoph Linhart; Alexander Martin Keppler; Matthias Woiczinski; Christian Kammerlander; Axel Greiner; Wolfgang Böcker; Adrian Cavalcanti Kußmaul Journal: Eur J Trauma Emerg Surg Date: 2021-12-08 Impact factor: 2.374
Authors: Adrian Cavalcanti Kußmaul; Fanny Schwaabe; Christopher Alexander Becker; Christian Kleber; Christoph Linhart; Christoph Thorwächter; Bianka Rubenbauer; Wolfgang Böcker; Axel Greiner Journal: Eur J Trauma Emerg Surg Date: 2022-04-01 Impact factor: 2.374
Authors: Martin C Jordan; Veronika Jäckle; Sebastian Scheidt; Fabian Gilbert; Stefanie Hölscher-Doht; Süleyman Ergün; Rainer H Meffert; Timo M Heintel Journal: Sci Rep Date: 2021-06-29 Impact factor: 4.379
Authors: Adrian Cavalcanti Kußmaul; Fanny Schwaabe; Manuel Kistler; Clara Gennen; Sebastian Andreß; Christopher A Becker; Wolfgang Böcker; Axel Greiner Journal: Arch Orthop Trauma Surg Date: 2021-05-29 Impact factor: 2.928