Trans-obturator cable fixation of open book pelvic injuries

Abstract Operative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturato...

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Autores principales:	Martin C. Jordan, Veronika Jäckle, Sebastian Scheidt, Fabian Gilbert, Stefanie Hölscher-Doht, Süleyman Ergün, Rainer H. Meffert, Timo M. Heintel
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/89e0ac376d4c435688c931e8b802cf7f
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spelling	oai:doaj.org-article:89e0ac376d4c435688c931e8b802cf7f2021-12-02T18:18:59ZTrans-obturator cable fixation of open book pelvic injuries10.1038/s41598-021-92755-22045-2322https://doaj.org/article/89e0ac376d4c435688c931e8b802cf7f2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92755-2https://doaj.org/toc/2045-2322Abstract Operative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturator cable fixation versus plating through biomechanical testing and evaluates safety in a cadaver experiment. APC type II injuries were generated in synthetic pelvic models and subsequently separated into three different groups. The anterior pelvic ring was fixed using a four-hole steel plate in Group A, a stainless steel cable in Group B, and a titan band in Group C. Biomechanical testing was conducted by a single-leg-stance model using a material testing machine under physiological load levels. A cadaver study was carried out to analyze the trans-obturator surgical approach. Peak-to-peak displacement, total displacement, plastic deformation and stiffness revealed a tendency for higher stability for trans-obturator cable/band fixation but no statistical difference to plating was detected. The cadaver study revealed a safe zone for cable passage with sufficient distance to the obturator canal. Trans-obturator cable fixation has the potential to become an alternative for symphyseal fixation with less complications.Martin C. JordanVeronika JäckleSebastian ScheidtFabian GilbertStefanie Hölscher-DohtSüleyman ErgünRainer H. MeffertTimo M. HeintelNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Martin C. Jordan Veronika Jäckle Sebastian Scheidt Fabian Gilbert Stefanie Hölscher-Doht Süleyman Ergün Rainer H. Meffert Timo M. Heintel Trans-obturator cable fixation of open book pelvic injuries
description	Abstract Operative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturator cable fixation versus plating through biomechanical testing and evaluates safety in a cadaver experiment. APC type II injuries were generated in synthetic pelvic models and subsequently separated into three different groups. The anterior pelvic ring was fixed using a four-hole steel plate in Group A, a stainless steel cable in Group B, and a titan band in Group C. Biomechanical testing was conducted by a single-leg-stance model using a material testing machine under physiological load levels. A cadaver study was carried out to analyze the trans-obturator surgical approach. Peak-to-peak displacement, total displacement, plastic deformation and stiffness revealed a tendency for higher stability for trans-obturator cable/band fixation but no statistical difference to plating was detected. The cadaver study revealed a safe zone for cable passage with sufficient distance to the obturator canal. Trans-obturator cable fixation has the potential to become an alternative for symphyseal fixation with less complications.
format	article
author	Martin C. Jordan Veronika Jäckle Sebastian Scheidt Fabian Gilbert Stefanie Hölscher-Doht Süleyman Ergün Rainer H. Meffert Timo M. Heintel
author_facet	Martin C. Jordan Veronika Jäckle Sebastian Scheidt Fabian Gilbert Stefanie Hölscher-Doht Süleyman Ergün Rainer H. Meffert Timo M. Heintel
author_sort	Martin C. Jordan
title	Trans-obturator cable fixation of open book pelvic injuries
title_short	Trans-obturator cable fixation of open book pelvic injuries
title_full	Trans-obturator cable fixation of open book pelvic injuries
title_fullStr	Trans-obturator cable fixation of open book pelvic injuries
title_full_unstemmed	Trans-obturator cable fixation of open book pelvic injuries
title_sort	trans-obturator cable fixation of open book pelvic injuries
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/89e0ac376d4c435688c931e8b802cf7f
work_keys_str_mv	AT martincjordan transobturatorcablefixationofopenbookpelvicinjuries AT veronikajackle transobturatorcablefixationofopenbookpelvicinjuries AT sebastianscheidt transobturatorcablefixationofopenbookpelvicinjuries AT fabiangilbert transobturatorcablefixationofopenbookpelvicinjuries AT stefanieholscherdoht transobturatorcablefixationofopenbookpelvicinjuries AT suleymanergun transobturatorcablefixationofopenbookpelvicinjuries AT rainerhmeffert transobturatorcablefixationofopenbookpelvicinjuries AT timomheintel transobturatorcablefixationofopenbookpelvicinjuries
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Trans-obturator cable fixation of open book pelvic injuries

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