{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:29:02Z","timestamp":1776893342861,"version":"3.51.2"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Traumatic open book injuries of the pubic symphysis require stable fixation while minimizing surgical morbidity. Traditional symphyseal plating is associated with complications such as implant failure and infections. This study aims to evaluate the biomechanical performance of a novel minimally invasive technique using an internal fixator (IF) compared to conventional plating (symphyseal locking dynamic compression plate [SLDCP]) in human cadaveric pelvises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Ten human cadaveric pelvises were assigned to two groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095 each). After anatomical reduction, either SLDCP or IF stabilization was applied. Intrasymphyseal compression forces, contact area and interfragmentary motion were assessed using pressure\u2010sensitive sensor films and an optical tracking system under incrementally applied axial loads up to 600\u2009N. Bone density and symphyseal dimensions were measured and were comparable across both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At key loading stages (400 and 600\u2009N), the IF group demonstrated significantly higher intrasymphyseal compression forces (IF 61.78\u2009\u00b1\u200931.98\u2009N vs. SLDCP 15.98\u2009\u00b1\u20098.2\u2009N at 400\u2009N and IF 42.82\u2009\u00b1\u200925.2\u2009N vs. SLDCP 9.42\u2009\u00b1\u20095.81\u2009N at 600\u2009N) and larger contact areas (IF 453\u2009\u00b1\u2009137.6\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      vs. SLDCP 216\u2009\u00b1\u2009135\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      at 400\u2009N and IF 337.6\u2009\u00b1\u2009168.45\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      vs. SLDCP 154\u2009\u00b1\u200959.73\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      at 600\u2009N), with more homogeneous segmental force and area distributions. Higher compression forces, particularly in the caudal symphyseal region (IF 23.68\u2009\u00b1\u200918.69\u2009N vs. SLDCP 13.78\u2009\u00b1\u200910.1\u2009N), were achieved. Three\u2010dimensional analysis showed reduced fragment displacement in the IF group under load.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposed technique using an internal fixator provided superior biomechanical stability compared to standard plating, offering a promising minimally invasive alternative for managing open book injuries. The technique facilitates uniform force transmission and improved contact conditions, which may enhance healing and reduce complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70636","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T11:35:56Z","timestamp":1768822556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biomechanical comparison of a new minimally invasive technique versus conventional plating for the treatment of open book symphyseal injuries in osteoporotic human pelvises"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2007-0404","authenticated-orcid":false,"given":"Tobias","family":"Fritz","sequence":"first","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Briem","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery BG Hospital T\u00fcbingen T\u00fcbingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel","family":"Orth","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Mettelsiefen","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Stroeder","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Saarland University Medical Center Homburg Germany"},{"name":"Department of Radiology and Nuclear Medicine University Medical Center Schleswig\u2010Holstein Campus L\u00fcbeck L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexa J.","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanouil","family":"Liodakis","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Pohlemann","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonius","family":"Pizanis","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0969-7610","authenticated-orcid":false,"given":"David B.","family":"Osche","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery Saarland University Medical Center Homburg 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