title: Implant retention and removal after internal fixation of the symphysis pubis.
abstract: Although internal fixation of diastasis of the symphysis pubis is commonly performed, there are no clear guidelines regarding the indications for removal of these implants. The long-term physiologic effects of retaining these internal fixation devices are not well described. We surveyed the literature to assess the current thinking and recommendations regarding implant retention and removal. Twenty-four case series and two case reports were found, for a total of 482 cases. Complications arose as a result of implant retention in 7.5% of patients, with infection the most common complication. There is no consensus in the literature regarding implant retention and removal after internal fixation of diastasis of the symphysis pubis.
authors.affiliation: St. James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
authors.forename: Raghu
authors.initials: R
authors.lastname: Raman
authors.forename: Craig S
authors.initials: CS
authors.lastname: Roberts
authors.forename: Hans-Christoph
authors.initials: HC
authors.lastname: Pape
authors.forename: Peter V
authors.initials: PV
authors.lastname: Giannoudis
mesh_terms: D020878:Device Removal; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D017410:Practice Guidelines as Topic; D011631:Pubic Symphysis / Q000293:injuries*