{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T12:33:45Z","timestamp":1770554025217,"version":"3.49.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Pelvic-ring injuries in women often result in urinary dysfunction owing to the proximity of pelvic organs to the urinary tract, significantly affecting quality of life. However, detailed research on urinary sequelae remains limited. This study aimed to assess the incidence of urinary dysfunction in women after pelvic-ring injuries and to identify risk factors influencing urinary function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of women who underwent osteosynthesis for pelvic-ring injuries between January 2022 and June 2023 with \u2265\u200912 months of follow-up. Urinary dysfunction was evaluated using the Questionnaire for Urinary Incontinence Diagnosis and Female Urinary Symptom Score at one, three, six and 12 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty-eight patients (mean age, 43.2 years) were included, with motor-vehicle collisions being the most common cause for pelvic-ring injuries (74.1%). Most injuries (84.5%) were classified as Type B. Nearly half of the patients reported urinary symptoms one month post-surgery, which significantly improved over 12 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). In the multivariate analysis, greater injury severity was independently associated with urinary dysfunction at six months (adjusted odds ratio: 1.05, 95% confidence interval 1.00\u20131.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049), while no other clinical or procedural factors, including age, arterial embolisation, or surgical approach, stayed significant. Functional recovery correlated with reduced symptoms over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Urinary dysfunction is a frequent but under-recognised complication after pelvic-ring injuries. Although most patients experience gradual improvement over time, greater injury severity is independently associated with early urinary symptoms. Continuous monitoring and timely rehabilitation may help optimise long-term functional recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00264-025-06681-3","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T06:13:15Z","timestamp":1762236795000},"page":"253-262","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and impact of urogenital sequelae in women following pelvic-ring injuries: a retrospective cohort study"],"prefix":"10.1007","volume":"50","author":[{"given":"Chin-Chieh","family":"Hsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Yang","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I-Jung","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yung-Heng","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying-Chao","family":"Chou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsia-Shu","family":"Lo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Hsun","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"6681_CR1","doi-asserted-by":"publisher","first-page":"4525","DOI":"10.1007\/s00402-024-05447-7","volume":"144","author":"JE Madsen","year":"2024","unstructured":"Madsen JE, Flugsrud GB, Hammer N, Puchwein P (2024) Emergency treatment of pelvic ring injuries: state of the art. Arch Orthop Trauma Surg 144:4525\u20134539. https:\/\/doi.org\/10.1007\/s00402-024-05447-7","journal-title":"Arch Orthop Trauma Surg"},{"key":"6681_CR2","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1016\/j.injury.2023.02.006","volume":"54","author":"AD Roszman","year":"2023","unstructured":"Roszman AD, John DQ, Patch DA, Spitler CA, Johnson JP (2023) Management of open pelvic ring injuries. Injury 54:1041\u20131046. https:\/\/doi.org\/10.1016\/j.injury.2023.02.006","journal-title":"Injury"},{"key":"6681_CR3","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1007\/s00590-022-03234-x","volume":"33","author":"Y-H Yu","year":"2023","unstructured":"Yu Y-H, Hsu Y-H, Chou Y-C, Liu C-H, Tseng I-C, Chen I-J (2023) Three-year functional outcome after open pelvic fracture treatment: a retrospective case series from a level I trauma center. Eur J Orthop Surg Traumatol 33:937\u2013945. https:\/\/doi.org\/10.1007\/s00590-022-03234-x","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"6681_CR4","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1111\/j.1471-0528.2004.00120.x","volume":"111","author":"K Baessler","year":"2004","unstructured":"Baessler K, Bircher MD, Stanton SL (2004) Pelvic floor dysfunction in women after pelvic trauma. BJOG 111:499\u2013502. https:\/\/doi.org\/10.1111\/j.1471-0528.2004.00120.x","journal-title":"BJOG"},{"key":"6681_CR5","doi-asserted-by":"publisher","first-page":"418","DOI":"10.5312\/wjo.v15.i5.418","volume":"15","author":"AA Fokin","year":"2024","unstructured":"Fokin AA, Wycech Knight J, Tharp ME et al (2024) Pelvic fractures in blunt trauma patients: a comparative study. World J Orthop 15:418\u2013434. https:\/\/doi.org\/10.5312\/wjo.v15.i5.418","journal-title":"World J Orthop"},{"key":"6681_CR6","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1007\/s00268-022-06876-4","volume":"47","author":"Y-H Yu","year":"2023","unstructured":"Yu Y-H, Tsai P-J, Liu C-H et al (2023) Causes of increased use of closed reduction and internal fixation for high-energy-related traumatic sacral fractures. World J Surg 47:903\u2013911. https:\/\/doi.org\/10.1007\/s00268-022-06876-4","journal-title":"World J Surg"},{"key":"6681_CR7","doi-asserted-by":"publisher","first-page":"1759","DOI":"10.1016\/j.jsxm.2022.08.198","volume":"19","author":"HA Gambrah","year":"2022","unstructured":"Gambrah HA, Hagedorn JC, Dmochowski RR, Johnsen NV (2022) Sexual dysfunction in women after traumatic pelvic fracture negatively affects quality of life and mental health. J Sex Med 19:1759\u20131765. https:\/\/doi.org\/10.1016\/j.jsxm.2022.08.198","journal-title":"J Sex Med"},{"key":"6681_CR8","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1097\/BOT.0000000000002247","volume":"36","author":"KA Lefaivre","year":"2022","unstructured":"Lefaivre KA, Roffey DM, Guy P, O\u2019Brien PJ, Broekhuyse HM (2022) Quantifying urinary and sexual dysfunction after pelvic fracture. J Orthop Trauma 36:118\u2013123. https:\/\/doi.org\/10.1097\/BOT.0000000000002247","journal-title":"J Orthop Trauma"},{"key":"6681_CR9","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.urology.2020.08.021","volume":"150","author":"KL Burgio","year":"2021","unstructured":"Burgio KL, James AS, LaCoursiere DY et al (2021) Views of normal bladder function among women experiencing lower urinary tract symptoms. Urology 150:103\u2013109. https:\/\/doi.org\/10.1016\/j.urology.2020.08.021","journal-title":"Urology"},{"key":"6681_CR10","doi-asserted-by":"publisher","unstructured":"de Carvalho MLAS, Bezerra LO, Oliveira JMP, Oliveira MCE, Micussi MTABC (2024) Pelvic floor muscle training in women with urinary incontinence and pelvic organ prolapse: a protocol study. PLoS ONE 19:Article e0308701. https:\/\/doi.org\/10.1371\/journal.pone.0308701","DOI":"10.1371\/journal.pone.0308701"},{"key":"6681_CR11","doi-asserted-by":"publisher","first-page":"2023","DOI":"10.1007\/s00192-024-05921-1","volume":"35","author":"S Abidi","year":"2024","unstructured":"Abidi S, Ghram A, Ahmaidi S, Ben Saad H, Chlif M (2024) Effects of inspiratory muscle training on stress urinary incontinence in North African women: a randomized controlled trial. Int Urogynecol J 35:2023\u20132031. https:\/\/doi.org\/10.1007\/s00192-024-05921-1","journal-title":"Int Urogynecol J"},{"key":"6681_CR12","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/j.sxmr.2019.05.007","volume":"7","author":"M Verbeek","year":"2019","unstructured":"Verbeek M, Hayward L (2019) Pelvic floor dysfunction and its effect on quality of sexual life. Sex Med Rev 7:559\u2013564. https:\/\/doi.org\/10.1016\/j.sxmr.2019.05.007","journal-title":"Sex Med Rev"},{"key":"6681_CR13","doi-asserted-by":"publisher","first-page":"166","DOI":"10.4103\/0974-7796.130657","volume":"6","author":"A Ali","year":"2014","unstructured":"Ali A, Nabi G, Swami S, Somani B (2014) Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture. Urol Ann 6:166\u2013168. https:\/\/doi.org\/10.4103\/0974-7796.130657","journal-title":"Urol Ann"},{"key":"6681_CR14","doi-asserted-by":"publisher","first-page":"2724","DOI":"10.1016\/j.injury.2017.10.038","volume":"48","author":"B Ramasamy","year":"2017","unstructured":"Ramasamy B, Thewlis D, Moss MJ, Fraysse F, Rickman M, Solomon LB (2017) Complications of trans arterial embolization during the resuscitation of pelvic fractures. Injury 48:2724\u20132729. https:\/\/doi.org\/10.1016\/j.injury.2017.10.038","journal-title":"Injury"},{"key":"6681_CR15","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1002\/ams2.286","volume":"4","author":"K Sagawa","year":"2017","unstructured":"Sagawa K, Sawano M (2017) A case series of pelvic fracture patients who developed lower urinary tract symptoms after transarterial embolization of bilateral internal iliac arteries. Acute Med Surg 4:358\u2013362. https:\/\/doi.org\/10.1002\/ams2.286","journal-title":"Acute Med Surg"},{"key":"6681_CR16","doi-asserted-by":"publisher","first-page":"352","DOI":"10.5173\/ceju.2013.03.art28","volume":"66","author":"AA Ter-Grigorian","year":"2013","unstructured":"Ter-Grigorian AA, Kasyan GR, Pushkar DY (2013) Urogenital disorders after pelvic ring injuries. Cent Eur J Urol 66:352\u2013356. https:\/\/doi.org\/10.5173\/ceju.2013.03.art28","journal-title":"Cent Eur J Urol"},{"key":"6681_CR17","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1148\/radiology.160.2.3726125","volume":"160","author":"JW Young","year":"1986","unstructured":"Young JW, Burgess AR, Brumback RJ, Poka A (1986) Pelvic fractures: value of plain radiography in early assessment and management. Radiology 160:445\u2013451. https:\/\/doi.org\/10.1148\/radiology.160.2.3726125","journal-title":"Radiology"},{"key":"6681_CR18","unstructured":"AO Foundation (2018) AO\/OTA Fracture and Dislocation Classification Compendium. Wolters Kluwer. AO Foundaition. https:\/\/classification.aoeducation.org. Accessed 6 May 2020"},{"key":"6681_CR19","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.ajog.2004.07.037","volume":"192","author":"CS Bradley","year":"2005","unstructured":"Bradley CS, Rovner ES, Morgan MA et al (2005) A new questionnaire for urinary incontinence diagnosis in women: development and testing. Am J Obstet Gynecol 192:66\u201373. https:\/\/doi.org\/10.1016\/j.ajog.2004.07.037","journal-title":"Am J Obstet Gynecol"},{"key":"6681_CR20","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1017\/S1463423607000291","volume":"8","author":"A Wagg","year":"2007","unstructured":"Wagg A, Barron D, Kirby M, Corlett K (2007) Development and validation of a short, easy-to-use questionnaire for diagnosing urinary incontinence and lower urinary tract symptoms in women: the female urinary symptom score. Prim Health Care Res Dev 8:243\u2013250. https:\/\/doi.org\/10.1017\/S1463423607000291","journal-title":"Prim Health Care Res Dev"},{"key":"6681_CR21","doi-asserted-by":"publisher","first-page":"1395","DOI":"10.1016\/j.injury.2011.10.012","volume":"42","author":"GI Mataliotakis","year":"2011","unstructured":"Mataliotakis GI, Giannoudis PV (2011) Radiological measurements for postoperative evaluation of quality of reduction of unstable pelvic ring fractures: advantages and limitations. Injury 42:1395\u20131401. https:\/\/doi.org\/10.1016\/j.injury.2011.10.012","journal-title":"Injury"},{"key":"6681_CR22","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1097\/BOT.0b013e31829efcc5","volume":"28","author":"KA Lefaivre","year":"2014","unstructured":"Lefaivre KA, Blachut PA, Starr AJ, Slobogean GP, O\u2019Brien PJ (2014) Radiographic displacement in pelvic ring disruption: reliability of 3 previously described measurement techniques. J Orthop Trauma 28:160\u2013166. https:\/\/doi.org\/10.1097\/BOT.0b013e31829efcc5","journal-title":"J Orthop Trauma"},{"key":"6681_CR23","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1007\/s11999-008-0572-1","volume":"467","author":"RM d\u2019Aubigne","year":"2009","unstructured":"d\u2019Aubigne RM, Postel M (2009) The classic: functional results of hip arthroplasty with acrylic prosthesis. Clin Orthop Relat Res 467:7\u201327. https:\/\/doi.org\/10.1007\/s11999-008-0572-1","journal-title":"Clin Orthop Relat Res"},{"key":"6681_CR24","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1302\/0301-620X.71B2.2925751","volume":"71","author":"SA Majeed","year":"1989","unstructured":"Majeed SA (1989) Grading the outcome of pelvic fractures. J Bone Joint Surg Br 71:304\u2013306. https:\/\/doi.org\/10.1302\/0301-620X.71B2.2925751","journal-title":"J Bone Joint Surg Br"},{"key":"6681_CR25","doi-asserted-by":"publisher","first-page":"982","DOI":"10.5114\/aoms.2014.42305","volume":"11","author":"G Fabian","year":"2015","unstructured":"Fabian G, Kociszewski J, Kuszka A et al (2015) Vaginal excision of the sub-urethral sling: analysis of indications, safety and outcome. Arch Med Sci 11:982\u2013988. https:\/\/doi.org\/10.5114\/aoms.2014.42305","journal-title":"Arch Med Sci"},{"key":"6681_CR26","doi-asserted-by":"publisher","first-page":"2005","DOI":"10.1186\/s12889-023-16901-3","volume":"23","author":"RA Peinado-Molina","year":"2023","unstructured":"Peinado-Molina RA, Hern\u00e1ndez-Mart\u00ednez A, Mart\u00ednez-V\u00e1zquez S, Rodr\u00edguez-Almagro J, Mart\u00ednez-Galiano JM (2023) Pelvic floor dysfunction: prevalence and associated factors. BMC Publ Health 23:2005. https:\/\/doi.org\/10.1186\/s12889-023-16901-3","journal-title":"BMC Publ Health"},{"key":"6681_CR27","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1111\/j.1742-1241.2011.02763.x","volume":"65","author":"ES Lukacz","year":"2011","unstructured":"Lukacz ES, Sampselle C, Gray M et al (2011) A healthy bladder: a consensus statement. Int J Clin Pract 65:1026\u20131036. https:\/\/doi.org\/10.1111\/j.1742-1241.2011.02763.x","journal-title":"Int J Clin Pract"},{"key":"6681_CR28","doi-asserted-by":"publisher","first-page":"1016","DOI":"10.5114\/aoms\/135708","volume":"19","author":"B Burzynski","year":"2023","unstructured":"Burzynski B, Jurys T, Knapik M et al (2023) Abdominal complex muscle in women with stress urinary incontinence \u2013 prospective case-control study. Arch Med Sci 19:1016\u20131021. https:\/\/doi.org\/10.5114\/aoms\/135708","journal-title":"Arch Med Sci"},{"key":"6681_CR29","doi-asserted-by":"publisher","first-page":"2697","DOI":"10.1016\/j.injury.2020.01.042","volume":"52","author":"J Copp","year":"2021","unstructured":"Copp J, Eastman JG (2021) Novel resuscitation strategies in patients with a pelvic fracture. Injury 52:2697\u20132701. https:\/\/doi.org\/10.1016\/j.injury.2020.01.042","journal-title":"Injury"},{"key":"6681_CR30","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.suc.2023.10.001","volume":"104","author":"JE Baker","year":"2024","unstructured":"Baker JE, Werner NL, Burlew CC (2024) Management of pelvic trauma. Surg Clin North Am 104:367\u2013384. https:\/\/doi.org\/10.1016\/j.suc.2023.10.001","journal-title":"Surg Clin North Am"},{"key":"6681_CR31","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1097\/TA.0000000000004138","volume":"96","author":"DR King","year":"2024","unstructured":"King DR, Hwabejire JO, Pham QP et al (2024) Self-expanding foam versus preperitoneal packing for exsanguinating pelvic hemorrhage. J Trauma Acute Care Surg 96:727\u2013734. https:\/\/doi.org\/10.1097\/TA.0000000000004138","journal-title":"J Trauma Acute Care Surg"},{"key":"6681_CR32","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1016\/j.ejrad.2011.02.049","volume":"81","author":"C Papakostidis","year":"2012","unstructured":"Papakostidis C, Kanakaris N, Dimitriou R, Giannoudis PV (2012) The role of arterial embolization in controlling pelvic fracture haemorrhage: a systematic review of the literature. Eur J Radiol 81:897\u2013904. https:\/\/doi.org\/10.1016\/j.ejrad.2011.02.049","journal-title":"Eur J Radiol"},{"key":"6681_CR33","doi-asserted-by":"publisher","first-page":"1295","DOI":"10.1007\/s00068-023-02389-4","volume":"50","author":"F Migliorini","year":"2024","unstructured":"Migliorini F, Cocconi F, Schipper I et al (2024) Arterial angioembolisation versus pre-peritoneal pelvic packing in haemodynamically unstable patients with complex pelvic fractures: a meta-analysis. Eur J Trauma Emerg Surg 50:1295\u20131304. https:\/\/doi.org\/10.1007\/s00068-023-02389-4","journal-title":"Eur J Trauma Emerg Surg"},{"key":"6681_CR34","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1186\/s12891-020-03372-5","volume":"21","author":"C-Y Lai","year":"2020","unstructured":"Lai C-Y, Tseng I-C, Su C-Y et al (2020) High incidence of surgical site infection may be related to suboptimal case selection for non-selective arterial embolization during resuscitation of patients with pelvic fractures: a retrospective study. BMC Musculoskelet Disord 21:335. https:\/\/doi.org\/10.1186\/s12891-020-03372-5","journal-title":"BMC Musculoskelet Disord"},{"key":"6681_CR35","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1097\/BOT.0b013e3181dd0b84","volume":"24","author":"HC Sagi","year":"2010","unstructured":"Sagi HC, Afsari A, Dziadosz D (2010) The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures. J Orthop Trauma 24:263\u2013270. https:\/\/doi.org\/10.1097\/BOT.0b013e3181dd0b84","journal-title":"J Orthop Trauma"},{"key":"6681_CR36","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.2106\/JBJS.ST.17.00060","volume":"8","author":"MJB Keel","year":"2018","unstructured":"Keel MJB, Siebenrock K-A, Tannast M, Bastian JD (2018) The pararectus approach: a new concept. JBJS Essent Surg Tech 8:e21. https:\/\/doi.org\/10.2106\/JBJS.ST.17.00060","journal-title":"JBJS Essent Surg Tech"},{"key":"6681_CR37","doi-asserted-by":"publisher","first-page":"e19","DOI":"10.2106\/JBJS.ST.16.00101","volume":"8","author":"TH Tosounidis","year":"2018","unstructured":"Tosounidis TH, Giannoudis VP, Kanakaris NK, Giannoudis PV (2018) The ilioinguinal approach: state of the art. JBJS Essent Surg Tech 8:e19. https:\/\/doi.org\/10.2106\/JBJS.ST.16.00101","journal-title":"JBJS Essent Surg Tech"},{"key":"6681_CR38","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1016\/j.injury.2019.04.015","volume":"50","author":"T Pastor","year":"2019","unstructured":"Pastor T, Tiziani S, Kasper CD, Pape H-C, Osterhoff G (2019) Quality of reduction correlates with clinical outcome in pelvic ring fractures. Injury 50:1223\u20131226. https:\/\/doi.org\/10.1016\/j.injury.2019.04.015","journal-title":"Injury"},{"key":"6681_CR39","doi-asserted-by":"publisher","first-page":"2173","DOI":"10.1007\/s11999-012-2257-z","volume":"470","author":"AA Odutola","year":"2012","unstructured":"Odutola AA, Sabri O, Halliday R, Chesser TJS, Ward AJ (2012) High rates of sexual and urinary dysfunction after surgically treated displaced pelvic ring injuries. Clin Orthop Relat Res 470:2173\u20132184. https:\/\/doi.org\/10.1007\/s11999-012-2257-z","journal-title":"Clin Orthop Relat Res"},{"key":"6681_CR40","doi-asserted-by":"publisher","unstructured":"Hsiao P-M, Liao S-C, Chen I-J et al (2023) Incidence of deep vein thrombosis and symptomatic pulmonary embolism in Taiwanese patients with pelvic and\/or acetabular fractures: a retrospective study. Sci Rep 13:Article 16352. https:\/\/doi.org\/10.1038\/s41598-023-43449-4","DOI":"10.1038\/s41598-023-43449-4"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-025-06681-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-025-06681-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-025-06681-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:03:17Z","timestamp":1770476597000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-025-06681-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["6681"],"URL":"https:\/\/doi.org\/10.1007\/s00264-025-06681-3","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,4]]},"assertion":[{"value":"30 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective chart review study involving human participants was conducted in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study protocol was approved by the Institutional Review Board (IRB NO: 202401756B0).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"The requirement for informed consent was waived owing to the retrospective nature of the study by the Institutional Review Board.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}