Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes

Abstract Background Failure of fixation (FF) in pubic symphysis diastasis (SD) ranges between 12 and 75%, though whether it influences functional outcomes is still debated. The objective of this study is to evaluate the impact of anterior pelvic plate failure and loss of reduction on Majeed’s functi...

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Autores principales:	Claudio Rojas, Ernesto Ewertz, Jose Miguel Hormazábal
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Symphyseal disruption Pubic diastasis Functional outcomes Fixation failure Loss of reduction Majeed’s Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/c25daba5721249a7aa2cc85a89f3c8c6
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spelling	oai:doaj.org-article:c25daba5721249a7aa2cc85a89f3c8c62021-11-08T11:01:42ZFixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes10.1186/s13018-021-02802-x1749-799Xhttps://doaj.org/article/c25daba5721249a7aa2cc85a89f3c8c62021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02802-xhttps://doaj.org/toc/1749-799XAbstract Background Failure of fixation (FF) in pubic symphysis diastasis (SD) ranges between 12 and 75%, though whether it influences functional outcomes is still debated. The objective of this study is to evaluate the impact of anterior pelvic plate failure and loss of reduction on Majeed’s functional scores. Methods Single center retrospective review of consecutive patients with acute SD treated by means of anterior pubic plating. Thirty-seven patients with a mean age 45.7 ± 14.4 years were included. Demographics, AO classification, pelvic fixation and secondary procedures were recorded. Majeed’s functional scores at minimum 6 months follow-up were compared according to the presence of FF and loss of reduction. Results Fifteen patients presented FF. Eight presented an additional loss of symphyseal reduction. Mean Majeed´s score (MMS) in patients with and without FF was 64.4 ± 13.04 and 81.8 ± 15.65, respectively (p = 0.0012). Differences in MMS in patients without FF and those with FF and maintained or loss of anterior reduction were 11.3 [70.5 vs 81.8] (p = 0.092) and 22.7 [59.1 vs 81.8] (p = 0.001), respectively. Significant association of FF with AO classification was noted. (OR 12.6; p = 0.002). Conclusions Differences in MMS in the analyzed groups suggest that loss of reduction might be more relevant than failure of the anterior osteosynthesis in functional outcomes.Claudio RojasErnesto EwertzJose Miguel HormazábalBMCarticleSymphyseal disruptionPubic diastasisFunctional outcomesFixation failureLoss of reductionMajeed’sOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Symphyseal disruption Pubic diastasis Functional outcomes Fixation failure Loss of reduction Majeed’s Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935
spellingShingle	Symphyseal disruption Pubic diastasis Functional outcomes Fixation failure Loss of reduction Majeed’s Orthopedic surgery RD701-811 Diseases of the musculoskeletal system RC925-935 Claudio Rojas Ernesto Ewertz Jose Miguel Hormazábal Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
description	Abstract Background Failure of fixation (FF) in pubic symphysis diastasis (SD) ranges between 12 and 75%, though whether it influences functional outcomes is still debated. The objective of this study is to evaluate the impact of anterior pelvic plate failure and loss of reduction on Majeed’s functional scores. Methods Single center retrospective review of consecutive patients with acute SD treated by means of anterior pubic plating. Thirty-seven patients with a mean age 45.7 ± 14.4 years were included. Demographics, AO classification, pelvic fixation and secondary procedures were recorded. Majeed’s functional scores at minimum 6 months follow-up were compared according to the presence of FF and loss of reduction. Results Fifteen patients presented FF. Eight presented an additional loss of symphyseal reduction. Mean Majeed´s score (MMS) in patients with and without FF was 64.4 ± 13.04 and 81.8 ± 15.65, respectively (p = 0.0012). Differences in MMS in patients without FF and those with FF and maintained or loss of anterior reduction were 11.3 [70.5 vs 81.8] (p = 0.092) and 22.7 [59.1 vs 81.8] (p = 0.001), respectively. Significant association of FF with AO classification was noted. (OR 12.6; p = 0.002). Conclusions Differences in MMS in the analyzed groups suggest that loss of reduction might be more relevant than failure of the anterior osteosynthesis in functional outcomes.
format	article
author	Claudio Rojas Ernesto Ewertz Jose Miguel Hormazábal
author_facet	Claudio Rojas Ernesto Ewertz Jose Miguel Hormazábal
author_sort	Claudio Rojas
title	Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
title_short	Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
title_full	Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
title_fullStr	Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
title_full_unstemmed	Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
title_sort	fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c25daba5721249a7aa2cc85a89f3c8c6
work_keys_str_mv	AT claudiorojas fixationfailureinpatientswithtraumaticdiastasisofpubicsymphysisimpactoflossofreductiononearlyfunctionaloutcomes AT ernestoewertz fixationfailureinpatientswithtraumaticdiastasisofpubicsymphysisimpactoflossofreductiononearlyfunctionaloutcomes AT josemiguelhormazabal fixationfailureinpatientswithtraumaticdiastasisofpubicsymphysisimpactoflossofreductiononearlyfunctionaloutcomes
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Fixation failure in patients with traumatic diastasis of pubic symphysis: impact of loss of reduction on early functional outcomes

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