
We evaluated the stability of locking and nonlocking plate fixation of the pubic symphysis in a cadaveric model of an unstable pelvic injury. Five fresh cadaver pelves--intact and with an unfixed simulated Tile B injury--were tested under compressive load simulating a 2-legged stance. On each pelvis, 3 pubic symphysis fixation constructs were tested: a 4-hole unicortical locking plate, a 4-hole bicortical locking plate, and a 4-hole bicortical compression plate. There were no significant differences in displacement among the 3 fixation methods tested on Tile B pelvic simulations. Symphysis pubis fixation alone reduced the anterior superior pubic symphysis mean gap displacement by 95% and the anterior inferior pubic symphysis by 78%, compared with the noninstrumented Tile B injury. There is no evidence that anteriorly placed locking constructs confer an advantage, in terms of pubic symphysis stability, over standard anterior compression plates for Tile B injuries.
Aged, 80 and over, Male, Pubic Symphysis Diastasis, Cadaver, Humans, Female, Middle Aged, Bone Plates, Aged, Biomechanical Phenomena
Aged, 80 and over, Male, Pubic Symphysis Diastasis, Cadaver, Humans, Female, Middle Aged, Bone Plates, Aged, Biomechanical Phenomena
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