Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single superior symphyseal plate | Active Comparator | 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 |
|
| double superior & anterior symphyseal plates | Active Comparator | 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| single symphyseal plating in management of vertically unsable open book pelvic ring injuries | Procedure | open book pelvic ring injuries can be managed via the two techniques. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of Excellent, Good, Fair or Poor clinical outcome | clinical assessment by Majeed pelvic scoring system evaluated and calculated at each follow-up visit with the mean value presented | 1 year postoperative |
| Rate of Excellent, Good, Fair or Poor radiological outcome | Radiological assessment using Matta & Tornetta radiological principles via plain x-ray pelvis showing both hips: anteroposterior, inlet and outlet views & CT pelvis if available; we evaluated five criteria on X-ray films postoperatively: residual posterior displacement, vertical displacement, pubic symphyseal translation, sagittal rotation, and gapping of the sacroiliac joint; according to the grading of Matta and Tornetta, we classified the results into Excellent (less than or equal 4 mm), Good (4-10 mm), Fair (10-20 mm), and Poor (more than 20 mm). | 1 year postoperative |
| Rate of recurrent diastasis | rate of symphyseal translation was measured & compared between the two study groups | throughout study completion, average one year postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Mean intraoperative blood loss | The mean blood loss was calculated in milliliters and compared between the two study groups, it was measured intraoperative and postoperative from suction drains | up to 5 days post-operative |
| Mean operative time |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Islam S Moussa, MD | no funding recieved | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Islam Sayed Moussa | Cairo | Abassia | 1234 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40346505 | Derived | Moussa IS, Abdelmonem IM, Nagy AM. Single versus double symphyseal plating in management of tile C1-2 and C1-3 pelvic ring injuries: a randomized controlled trial. BMC Surg. 2025 May 9;25(1):200. doi: 10.1186/s12893-025-02936-3. |
Not provided
Not provided
share the plan
1 year
full access
Not provided
Not provided
An independent doctor created the randomization sequence using Excel 2016 (computerized random numbers) with a 1:1 allocation via random block sizes of 2, 4, and 6; he assigned the sample numbers equally to each group and assigned the block. Patients and physicians allocated to each intervention group were aware of the allocation; however, the data analysts and the outcome assessors were kept blinded to the allocation. The investigators prospectively carried out this study on 30 patients with APC III pelvic ring injuries between March 2022 and May 2023 that met our inclusion criteria. The independent doctor allocated the 30 cases to two groups: Group A (15 cases): single superior symphyseal plate, group B (15 cases): double superior & anterior symphyseal plate
Not provided
Not provided
Patients and physicians allocated to each intervention group were aware of the allocation; however, the data analysts and the outcome assessors were kept blinded to the allocation.
|
The mean operation time was calculated in minutes and compared between the two study groups
| It was calculated intra-operative |
| postoperative complications' rate | We focused the evaluation of Postoperative complications on the local complications related to fixation principles and technique: LLD, implant failure, wound infection, residual malunion or non-union of the anterior ring, and loss of reduction (2ry SI dislocation or any rotational or vertical re-displacement) | 1 year post-operative |