Single vs Double Symphyseal Plating in Management of Vertically Unstable Open Book Pelvic Ring Injuries:

Ain Shams University

Status: Active, not recruiting

Conditions: Evaluation of Single Symphyseal Plating in APC III Injuries

Treatments: Procedure: single symphyseal plating in management of vertically unsable open book pelvic ring injuries

Study type: Interventional

Funder types: Other

Identifiers

NCT06439108

FMASU R65/2023

Details and patient eligibility

About

compare functional, radiological outcomes, implant failure and the incidence of recurrent diastasis of single superior symphyseal plate versus double plating in management of vertically unstable open book injuries

Full description

The real algorithm was the necessity for double superior & anterior plating versus single superior symphyseal plate in management of APC III pelvic ring injuries, whether the incidence of intraoperative and short-term postoperative complications, recurrent diastasis, radiological and functional outcomes differed between these two methods. Our hypothesis was that the use of an additional anterior symphyseal plating could provide a more rigid fixation, with less complications of recurrent diastasis or implant failure. Also it will be applied through the same incision without increasing the patient overall morbidity.

Enrollment: 30 patients

Sex: All

Ages: 16 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Anterior ring symphyses diastasis
• Tile C pelvic ring injuries
• Age between 16-60 years' old

Exclusion criteria

• Tile B pelvic ring injuries
• Isolated bony fractures of the anterior pelvic ring
• Open fractures
• Age less than 14 years and older than 60 years
• Associated internal organ injuries that require definitive intervention

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

single superior symphyseal plate

Active Comparator group

Description:

15 cases undergoing single superior symphyseal plate, reduction of the posterior ring was either closed reduction in SI joint dislocations \& fracture-dislocations and sacral fractures or open reduction in iliac wing fractures through the lateral window of the ilioinguinal approach.Anterior pelvic ring reduction and fixation was done via the classic Pfannenstiel approach

Treatment:

Procedure: single symphyseal plating in management of vertically unsable open book pelvic ring injuries

double superior & anterior symphyseal plates

Active Comparator group

Description:

15 cases undergoing double superior \& anterior symphyseal plates, 15 cases undergoing double superior \& anterior symphyseal plates, reduction of the posterior ring was either closed reduction in SI joint dislocations \& fracture-dislocations and sacral fractures or open reduction in iliac wing fractures through the lateral window of the ilioinguinal approach.Anterior pelvic ring reduction and fixation was done via the classic Pfannenstiel approach

Treatment:

Procedure: single symphyseal plating in management of vertically unsable open book pelvic ring injuries