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Transobturator-cable-fixation in pelvic ring injuries with symphyseal disruption - a last resort?
Eur J Trauma Emerg Surg
October 2024
Department of Orthopaedic Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany.
Purpose: The role of transobturator-cable-fixation (TOCF) in traumatic symphyseal rupture of the pelvic ring remains unclear. This case series aims to evaluate TOCF in complex and revision cases in pelvic surgery.
Methods: A retrospective analysis of a chronological case series was conducted, studying pelvic fractures stabilized using TOCF between January 2006 and December 2022.
Do we need another screw? Sacroiliac screw fixation in open-book pelvic ring injuries (APC type II).
EFORT Open Rev
August 2024
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany.
Article Synopsis
- The study aimed to compare the effectiveness of anterior plate fixation alone (SP fixation) versus anterior plate fixation combined with posterior sacroiliac screws (SP+SIS fixation) for treating specific pelvic ring injuries.
- A systematic literature review identified 40 studies from an initial screening of 1861, including surveys, biomechanical research, and clinical outcomes, with a focus on key outcomes like implant failure and quality of life.
- The findings indicated that while complications were lower in the SP+SIS group (3.5%) compared to the SP group (30%), the overall evidence was inconclusive and highlighted a significant risk of bias in the studies reviewed.
Imaging and video of late preterm delivery by midline laparotomy due to incarcerated uterus: A case report and literature review of a rare but morbid condition.
Int J Gynaecol Obstet
October 2024
Obstetrics and Gynaecology Department, National Maternity Hospital, Dublin, Ireland.
Incarcerated gravid uterus (IGU) is a rare and serious obstetric complication. IGU is defined as the entrapment of the gravid uterus between the pubic symphysis and the sacral promontory. The incidence of IGU is 1 in 3000-10 000 cases.
View Article and Find Full Text PDFPatterns of surgical complications after delayed fixation of peripartum pubic symphysis rupture: a report of 5 cases.
Patient Saf Surg
December 2023
Centre of Postgraduate Medical Education, Pelvic Injury and Pathology Department, Konarskiego 13, 05-400, Otwock, Poland.
Background: The disruption of the pubic symphysis during the peripartum period is a rare injury to the pelvic ring. In most cases, conservative treatment is successful. Nonetheless, there are cases where surgical intervention is necessary.
View Article and Find Full Text PDFConcomitant Vaginal Laceration and Urinary Bladder Injury With Pubic Diastasis: A Case Report on a Rare Complication During Obstructed Labor.
Cureus
January 2023
Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Article Synopsis
- - A rare and serious complication can occur during a difficult delivery, where both the uterus and bladder rupture simultaneously, especially in first-time mothers.
- - The case discussed involves a 21-year-old woman who experienced obstructed labor, resulting in injuries to her bladder and vagina, along with a separation of her pubic bone.
- - Surgical intervention included repairing the bladder and vagina, along with stabilizing the pubic bone using an external fixator.
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