Is there a clinical benefit of additional tension band wiring in plate fixation of the symphysis?

BMC Musculoskeletal Disorders

Research Article

Sun-Jung Yoon¹  Myung-sik Park¹  Kwanghun Lee¹  Seung-min Choi¹ 

[1] Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, South Korea;

关键词: Tension band wiring;    Plate fixation;    Traumatic symphysis pubis diastasis;    Pelvic ring injury;   

DOI  :  10.1186/s12891-017-1418-3

 received in 2016-06-05, accepted in 2017-01-18,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe purpose of this study was to determine whether additional tension band wiring in the plate for traumatic disruption of symphysis pubis has clinical benefits. Therefore, outcomes and complications were compared between a plate fixation group and a plate with tension band wiring group.MethodsWe retrospectively evaluated 64 consecutive patients who underwent open reduction and internal fixation of the symphysis pubis by using a plate alone (n = 39) or a plate with tension band wiring (n = 25). All the patients were followed up for a minimum of 24 months (mean, 34.4 months; range, 26–39 months). Demographic characteristics, outcomes, movement of the metal works, complications, revision surgery, and Majeed functional score were compared.ResultsSignificant screw pullout was relatively significantly more frequently found in the plate fixation group than in the plate with tension band wiring group (P = 0.009). In terms of the overall rate of all-cause revision surgery, including significant loosening, symptomatic hardware, and patient-requested hardware removal during follow-up period, the plate with tension band wiring group showed a significantly lower rate.ConclusionTension band wiring in combination with a symphyseal plate showed better radiological outcomes, a lower incidence of hardware loosening, and a lower rate of revision surgery than plate fixation alone. This technique would have some potential advantages in terms of avoiding significant movement of plate, symptomatic hardware failure, and revision surgery.

【 授权许可】

CC BY   
© The Author(s). 2017