{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:00:55Z","timestamp":1781701255754,"version":"3.54.5"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Klinikum der Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Open book injuries are challenging injuries that oftentimes require surgical treatment. Currently, treatment is performed with symphyseal plating requiring extensive surgery and entirely limiting physiological movement of the symphyseal joint, frequently resulting in implant failure. Therefore, we investigated the biomechanical properties of a minimally invasive tape suture construct (modified SpeedBridge\u2122) as an alternative stabilization technique for the treatment of open book injuries in human cadaver pelvic rings.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and Methods<\/jats:title>\n                <jats:p>The symphysis of 9 human cadaver pelvises was dissected and dilated to 3\u00a0cm creating an open book injury. Next, the two osteosynthesis methods (plating, modified SpeedBridge\u2122) were applied. All specimens then underwent cyclic horizontal and vertical loading, simulating biomechanical forces while sitting, standing and walking. For statistical analysis, 3D dislocation (mm) was calculated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Total displacement (mm) of the pubic symphysis displayed the following means and standard deviations: native group 1.34 \u00b1 0.62\u00a0mm, open book group 3.01 \u00b1 1.26\u00a0mm, tape group 1.94 \u00b1 0.59\u00a0mm and plate group 1.37 \u00b1 0.41\u00a0mm. Comparison between native and open book (<jats:italic>p<\/jats:italic> = 0.029), open book and plate (<jats:italic>p<\/jats:italic> = 0.004), open book and tape (<jats:italic>p<\/jats:italic> = 0.031), as well as tape and plate group (<jats:italic>p<\/jats:italic> = 0.002) showed significant differences. No significant differences were found when comparing the native and tape (<jats:italic>p<\/jats:italic> = 0.059), as well as the native and plate (<jats:italic>p<\/jats:italic> = 0.999) group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>While both osteosynthesis techniques sufficiently stabilized the injury, symphyseal plating displayed the highest rigidity. The modified SpeedBridge\u2122 as a tape suture construct provided statistically sufficient biomechanical stability while maintaining symphyseal micro mobility, consequently allowing ligamental healing of the injured joint without iatrogenic arthrodesis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-024-05390-7","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:02:07Z","timestamp":1716800527000},"page":"2665-2671","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Motion preservation for open book injuries of the pubic symphysis \u2013a biomechanical cadaver study"],"prefix":"10.1007","volume":"144","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9648-0998","authenticated-orcid":false,"given":"Adrian","family":"Cavalcanti Ku\u00dfmaul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nele","family":"Baur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Wulf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Greiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rouven","family":"Neudeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Kistler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Neuerburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"5390_CR1","doi-asserted-by":"crossref","unstructured":"Culemann UOHPT (2014) Aktuelle Behandlung Der Beckenringfraktur. 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All other authors have no conflict of interest or competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}