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Open reduction technique for overlapping and locked pubic symphysis.
Hüseyin Botanlioğlu1, Nafiz Bilsel, Gökhan Kaynak
1Department of Orthopedics and Traumatology, Cerrahpaşa Medical Faculty, İstanbul University, Turkey. huseyinbotanlioglu@yahoo.com
Acta Orthopaedica Et Traumatologica Turcica
|March 24, 2012
Summary
A locked pubic symphysis, a pelvic ring injury, requires understanding the injury mechanism for effective treatment. Open reduction is presented as a viable technique when external fixation fails.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Pelvic Ring Injuries
Background:
- A locked pubic symphysis results from lateral compression pelvic ring injuries.
- Entrapment of one pubic bone behind the contralateral pubis or obturator foramen characterizes this condition.
- Understanding the injury mechanism is crucial for selecting appropriate treatment.
Observation:
- This study presents an open reduction technique for treating a locked pubic symphysis.
- The technique was employed after initial open reduction external fixation failed in the emergency department.
Findings:
- Open reduction provides a method for addressing locked pubic symphysis.
- Successful application of open reduction in a case where external fixation was ineffective.
Implications:
- Highlights the importance of considering alternative surgical techniques for complex pelvic injuries.
- Suggests open reduction as a potential salvage procedure for locked pubic symphysis.
- Informs emergency department management protocols for pelvic ring trauma.

