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J Trauma Inj > Volume 29(1); 2016 > Article
Journal of Trauma and Injury 2016;29(1):22-27.
DOI: https://doi.org/10.20408/jti.2016.29.1.22    Published online March 31, 2016.
Clinical Outcome of a Precontoured Symphysis Pubis Plate with Tension Band Wiring for Traumatic Symphysis Pubis Rupture in Pelvic Fractures
Jeong Moon Lee, Sun Jung Yoon, Myung Sik Park, Kyung Jin Song
1Trauma-Team, Chonbuk National University Hospital, Korea. sjyoon_kos@naver.com
2Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Korea.
Received: 24 December 2015   • Revised: 4 January 2016   • Accepted: 4 January 2016
Abstract
PURPOSE
The optimal method of fixation of symphysis pubis (SP) diastasis in pelvic ring injuries is still controversial. In this study, we investigated the radiological and the clinical results of a precontoured 4.5-mm symphysis pubis (SP) plate with tension band wiring (TBW) after an anterior pelvic injury in pelvic fractures.
METHODS
We treated 25 patients with traumatic SP diastasis by open reduction and internal fixation with plates and wires. We used a four-hole 4.5-mm precontoured SP plate with a tension band wiring.
RESULTS
Patients with a SP with TBW fixation achieved excellent or good results at final follow-up. Post-operative complications included two (8%) patients with metal work movement. The mean symphyseal width was smaller in 4.5 mm SP plate with TBW during 1-year follow up period.
CONCLUSION
A precontoured symphysis pubis plate (4.5 mm) with figure-of-eight fashion tension band wiring shows favorable radiological results, excellent or good clinical outcome, and a lower complication (hardware failure and revision surgery).
Key Words: ORIF; Plate fixation; Tension-band wiring; Symphysis pubis rupture; Pelvic fracture
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