Locked Versus Standard Unlocked Plating of the Pubic Symphysis
Journal of Orthopaedic Trauma, 06/29/2012
Grimshaw CS et al. – No abrupt failures occurred in either plating group. Consequently, any fear of catastrophic failure of locked symphyseal plates appears to be unfounded for open–book injuries treated in patients with low bone density. However, minor loss of the symphyseal reduction was evident in all pelvises regardless of the fixation method. Therefore, locked plating of the pubic symphysis does not appear to offer any advantage over the standard unlocked technique for an AO/Orthopaedic Trauma Association 61–B3.1 partially stable open–book pelvic injury pattern in osteopenic bone.