{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:55:27Z","timestamp":1781654127026,"version":"3.54.5"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":76,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The pubic symphysis is a key joint for the stability of the pelvic ring. Pubic symphysis instability may lead to chronic pain and significant functional limitation, particularly in athletes and young subjects. Although conservative management is the first-line approach, refractory cases may require surgical intervention. The present study aimed to describe a surgical technique used in two soccer players who underwent pubic symphysis reconstruction through a Pfannenstiel approach with an autologous semitendinosus tendon graft passed through bone tunnels in the pubic bones in a figure- eight configuration and fixed with non-absorbable sutures. This technique's goal is to preserve the physiological mobility of the pubic symphysis. At 6 months, both patients showed an improvement of more than 30 points in the modified Harris Hip Score. Moreover, they achieved satisfactory functional recovery, returning to sports at 6 and 8 months, respectively. Radiographic evaluation demonstrated improved pelvic stability over a 5-year follow-up period. The technique proved to be safe, with low morbidity, and good clinical outcomes, allowing pelvic mobility preservation and return to sports. Despite the small number of cases, this surgical approach appears to be reproducible, with biomechanical advantages over pubic symphysis arthrodesis and a low complication rate.<\/jats:p>","DOI":"10.1055\/s-0046-1820487","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:25:31Z","timestamp":1781652331000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of Pubic Symphysis Instability Using Semitendinosus Tendon Grafts: A Two-Case Report with Surgical Technique Description"],"prefix":"10.1055","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2752-2397","authenticated-orcid":false,"given":"Henrique Ant\u00f4nio Berwanger de Amorim","family":"Cabrita","sequence":"additional","affiliation":[{"name":"Institute of Orthopedics and Traumatology, Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Department of Orthopedics and Traumatology, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7874-3223","authenticated-orcid":false,"given":"Tatiana Ciocler Trahtenberg","family":"Guttmann","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7157-8597","authenticated-orcid":false,"given":"Adriano Rodrigues da","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"publisher","first-page":"509","DOI":"10.5435\/JAAOS-D-15-00338","article-title":"Chronic Anterior Pelvic Instability: Diagnosis and Management","volume":"25","author":"M D Stover","year":"2017","journal-title":"J Am Acad Orthop Surg"},{"key":"ref2","first-page":"1013","volume-title":"Surgical technique: reconstruction of the pubic symphysis","author":"H Vahedi","year":"2022"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1249\/JSR.0b013e318249c32b","article-title":"Osteitis pubis in athletes","volume":"11","author":"T Beatty","year":"2012","journal-title":"Curr Sports Med Rep"},{"issue":"06","key":"ref4","doi-asserted-by":"publisher","first-page":"2569","DOI":"10.1007\/s00068-023-02333-6","article-title":"Substitutional semi-rigid osteosynthesis technique for treatment of unstable pubic symphysis injuries: a biomechanical study","volume":"49","author":"T Berk","year":"2023","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.eats.2017.08.045","article-title":"Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture","volume":"7","author":"J W Arner","year":"2017","journal-title":"Arthrosc Tech"},{"issue":"10","key":"ref6","doi-asserted-by":"publisher","first-page":"2114","DOI":"10.2106\/JBJS.G.00277","article-title":"Single-leg-stance (flamingo) radiographs to assess pelvic instability: how much motion is normal?","volume":"90","author":"D N Garras","year":"2008","journal-title":"J Bone Joint Surg Am"},{"issue":"10","key":"ref7","doi-asserted-by":"publisher","first-page":"2119","DOI":"10.2106\/JBJS.G.01559","article-title":"Single-leg-stance radiographs in the diagnosis of pelvic instability","volume":"90","author":"J Siegel","year":"2008","journal-title":"J Bone Joint Surg Am"},{"issue":"07","key":"ref8","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.2106\/00004623-199807000-00013","article-title":"Late posterior instability of the pelvis after resection of the symphysis pubis for the treatment of osteitis pubis. 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