{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:22:32Z","timestamp":1784604152351,"version":"3.55.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die Symphysensprengung mit entsprechender Diastase kann durch eine Symphysenplatte stabilisiert werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Welche Beckenverletzungen werden mit einer Symphysenplatte stabilisiert und wie ist das Outcome?<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Retrospektive Auswertung von 64\u00a0Patienten \u00fcber einen Untersuchungszeitraum von 24\u00a0Monaten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es waren 56 Patienten m\u00e4nnlich, 8 weiblich und das mittlere Alter betrug 44\u00a0Jahre (SD\u202f\u00b1\u200917). Unf\u00e4lle im Stra\u00dfenverkehr waren der f\u00fchrende Grund f\u00fcr die Beckenverletzung. Die Verteilung nach AO-Klassifikation zeigte sich wie folgt: 14-mal B1-, 10-mal B2-, 5\u2011mal B3-, 23-mal C1-, 9\u2011mal C2- und 3\u2011mal C3-Verletzungen. Die Verteilung nach Young und Burgess ergab: 9\u2011mal APC-I-, 18-mal APC-II-, 13-mal APC-III-, 9\u2011mal LC-I-, 3\u2011mal LC-II-, 2\u2011mal LC-III- und 10-mal VS-Verletzungen. Der mittlere  Injury Severity Score (ISS) betrug 32 und die mittlere station\u00e4re Verweildauer 29\u00a0Tage (pos. Korrelation <jats:italic>p<\/jats:italic>\u202f\u2264\u20090,001). Im Verlauf war eine radiologische Implantatlockerung bei 52\u00a0Patienten nachweisbar. Therapierelevante Komplikationen gab es in 14\u00a0F\u00e4llen. Hierbei war das Implantatversagen (<jats:italic>n<\/jats:italic>\u202f=\u20098) der Hauptgrund f\u00fcr eine operative Revision.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Obwohl die radiologische Implantatlockerung h\u00e4ufig beobachtet wird, ist sie nur selten Grund f\u00fcr einen Revisionseingriff. Kommt es hingegen zum vollst\u00e4ndigen Implantatversagen, tritt dies meist innerhalb der ersten postoperativen Wochen auf und ist revisionsbed\u00fcrftig. Eine fr\u00fchzeitige Abkl\u00e4rung durch R\u00f6ntgenbildgebung sollte bei Verdacht erfolgen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-020-00804-8","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T13:04:05Z","timestamp":1588079045000},"page":"870-878","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Ergebnisse nach Plattenstabilisierung der Symphysensprengung","Outcome after plate stabilization of symphyseal diastasis"],"prefix":"10.1007","volume":"123","author":[{"given":"Martin C.","family":"Jordan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"J\u00e4ckle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Scheidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Eden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timo M.","family":"Heintel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Jansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer H.","family":"Meffert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,4,28]]},"reference":[{"key":"804_CR1","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1055\/s-0042-105768","volume":"154","author":"U Schweigkofler","year":"2016","unstructured":"Schweigkofler\u00a0U, Wohlrath\u00a0B, Paffrath\u00a0T, Floh\u00e9\u00a0S, Wincheringer\u00a0D, Hoffmann\u00a0R, Trentzsch\u00a0H (2016) \u201eClear-the-Pelvis-Algorithmus\u201c Handlungsempfehlung zur Freigabe des Beckens nach nicht invasiver Stabilisierung mittels Beckengurt im Rahmen der Schockraumversorgung. 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