Radiographic changes of implant failure after plating for pubic symphysis diastasis: an underappreciated reality?

Clinical Orthopaedics and Related Research
Cory CollingeBerton R Moed

Abstract

Implant failure after symphyseal disruption and plating reportedly occurs in 0% to 21% of patients but the actual occurrence may be much more frequent and the characteristics of this failure have not been well described. We therefore determined the incidence and characterized radiographic implant failures in patients undergoing symphyseal plating after disruption of the pubic symphysis. We retrospectively reviewed 165 adult patients with Orthopaedic Trauma Association (OTA) 61-B (Tile B) or OTA 61-C (Tile C) pelvic injuries treated with symphyseal plating at two regional Level I and one Level II trauma centers. Immediate postoperative and latest followup anteroposterior radiographs were reviewed for implant loosening or breakage and for recurrent diastasis of the pubic symphysis. The minimum followup was 6 months (average, 12.2 months; range, 6-65 months). Failure of fixation, including screw loosening or breakage of the symphyseal fixation, occurred in 95 of the 127 patients (75%), which resulted in widening of the pubic symphyseal space in 84 of those cases (88%) when compared with the immediate postoperative radiograph. The mean width of the pubic space measured 4.9 mm (range, 2-10 mm) on immediate postoperative radiographs;...Continue Reading

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Citations

Jul 28, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S R ShaaraniJ M O'Byrne
Oct 19, 2016·Journal of Orthopaedic Trauma·Kyle LybrandPaul Tornetta
May 5, 2016·Journal of Orthopaedic Trauma·Cory A CollingeUNKNOWN Members of the Proximal Femur Working Group of the Southeast Trauma Consortium
Jan 13, 2017·International Orthopaedics·Rahul VaidyaFrederick Tonnos
Jan 14, 2017·Journal of Orthopaedic Trauma·Paul S WhitingHassan R Mir
Mar 29, 2019·Journal of Evidence-based Integrative Medicine·Camila Aparecida AbrahãoGabriela Pereira-da-Silva
Apr 27, 2019·Journal of Evidence-based Integrative Medicine·Camila Aparecida AbrahãoGabriela Pereira-da-Silva
Dec 15, 2015·Journal of Orthopaedic Trauma·Bas FrietmanJan-Paul Frölke
Jun 3, 2016·The Journal of Bone and Joint Surgery. American Volume·Frank R AviluceaHassan Mir
Jun 3, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Michael D StoverJoel M Matta
Apr 30, 2020·Der Unfallchirurg·Martin C JordanRainer H Meffert
Jul 31, 2020·Archives of Orthopaedic and Trauma Surgery·Michiel HerteleerPol Maria Rommens
Jan 29, 2019·Journal of Orthopaedic Trauma·Lucas S MarchandThomas F Higgins
Mar 20, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Robert D Wojahn, Michael J Gardner
Mar 12, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Michiel HerteleerPol Maria Rommens
Jun 8, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Cristián Barrientos-MendozaSebastián León
Jul 1, 2021·Scientific Reports·Martin C JordanTimo M Heintel

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