title: [Experience with surgical treatment of ruptures of the symphysis pubis].
abstract: Ten patients with symphyseal rupture and dehiscence of more than 10 mm who underwent different surgical procedures were reexamined between 8 and 59 months after surgery. In case of treatment within 3 weeks after the accident (n = 7) banding with completely absorbable Polydioxanon (PDS) cord (n = 4), PDS cord and crossing K-wires (n = 1), PDS-banding and plate-fixation for concomitant pubic fractures (n = 1), and wire banding (n = 1) were performed. In case of delayed operation (9 till 12 weeks after the injury n = 3) autologous bone grafts from the iliac crest were placed into the symphyseal split after removal of fibrous tissue, and double plate fixation (n = 2) respectively plate fixation and wirebanding (n = 1) were performed. There were no intraoperative and only 2 minor postoperative complications. The follow up revealed good and satisfactory results in 9 patients, and failure in one case. These results are better than to be expected from conservative management of this kind of injury. Banding with cord is a noteworthy alternative to wire banding and plate fixation.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität zu Köln.
authors.forename: S
authors.initials: S
authors.lastname: Kothe
authors.forename: H W
authors.initials: HW
authors.lastname: Keller
authors.forename: W
authors.initials: W
authors.lastname: Heindel
authors.forename: K E
authors.initials: KE
authors.lastname: Rehm
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000601:surgery; D001860:Bone Plates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D016687:Polydioxanone; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D012421:Rupture; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures
chemical_list: D016687:Polydioxanone
vernacular_title: Erfahrungen mit der operativen Behandlung von Symphysenrupturen.