TY  - JOUR
A1  - Jordan, Martin C.
A1  - Jäckle, Veronika
A1  - Scheidt, Sebastian
A1  - Gilbert, Fabian
A1  - Hölscher-Doht, Stefanie
A1  - Ergün, Süleyman
A1  - Meffert, Rainer H.
A1  - Heintel, Timo M.
T1  - Trans-obturator cable fixation of open book pelvic injuries
JF  - Scientific Reports
N2  - 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.
KW  - anatomy
KW  - medical research
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-261212
VL  - 11
IS  - 1
ER  -