Surgical Technique: Reconstruction of Pubic Symphysis

2022 ◽  
pp. 1-7
Author(s):  
Hamed Vahedi ◽  
Joshua D. Harris
Keyword(s):  
Surgical Technique ◽  
Pubic Symphysis

scholarly journals Surgical Outcomes of Inguinal-, Pubic-, and Adductor-Related Chronic Pain in Athletes: A Systematic Review Based on Surgical Technique

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110231
Author(s):  
Munif Hatem ◽  
RobRoy L. Martin ◽  
Srino Bharam
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Surgical Technique ◽  
Return To Sport ◽  
Pubic Symphysis ◽  
Ice Hockey ◽  
Return To Play ◽  
Chronic Groin Pain ◽  
Level Of Evidence ◽  
Duration Of Symptoms

Background: Controversies remain regarding the surgical treatment of inguinal-, pubic-, and adductor-related chronic groin pain (CGP) in athletes. Purpose: To investigate the outcomes of surgery for CGP in athletes based on surgical technique and anatomic area addressed. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed and Embase databases were searched for articles reporting surgical treatment of inguinal-, pubic-, or adductor-related CGP in athletes. Inclusion criteria were level 1 to 4 evidence, mean patient age >15 years, and results presented as return-to-sport, pain, or functional outcomes. Quality assessment was performed with the CONSORT (Consolidated Standards of Reporting Trials) statement or MINORS (Methodological Index for Non-randomized Studies) criteria. Techniques were grouped as inguinal, adductor origin, pubic symphysis, combined inguinal and adductor, combined pubic symphysis and adductor, or mixed. Results: Overall, 47 studies published between 1991 and 2020 were included. There were 2737 patients (94% male) with a mean age at surgery of 27.8 years (range, 12-65 years). The mean duration of symptoms was 13.1 months (range, 0.3-144 months). The most frequent sport involved was soccer (71%), followed by rugby (7%), Australian football (5%), and ice hockey (4%). Of the 47 articles reviewed, 44 were classified as level 4 evidence, 1 study was classified as level 3, and 2 randomized controlled trials were classified as level 1b. The quality of the observational studies improved modestly with time, with a mean MINORS score of 6 for articles published between 1991 and 2000, 6.53 for articles published from 2001 to 2010, and 6.9 for articles published from 2011 to 2020. Return to play at preinjury or higher level was observed in 92% (95% CI, 88%-95%) of the athletes after surgery to the inguinal area, 75% (95% CI, 57%-89%) after surgery to the adductor origin, 84% (95% CI, 47%-100%) after surgery to the pubic symphysis, and 89% (95% CI, 70%-99%) after combined surgery in the inguinal and adductor origin. Conclusion: Return to play at preinjury or higher level was more likely after surgery for inguinal-related CGP (92%) versus adductor-related CGP (75%). However, the majority of studies reviewed were methodologically of low quality owing to the lack of comparison groups.

scholarly journals A novel press-fit minimally-invasive symphysiodesis technique

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Sascha J. Hopp ◽  
Antonius Pizanis ◽  
Jeremy Briem ◽  
Jill Hahner ◽  
Laura Mettelsiefen ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Pubic Symphysis ◽  
Radiological Findings ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Press Fit ◽  
Minimally Invasive Surgical ◽  
Reduced Mobility ◽  
Extensive Surgery

Abstract Objective Instability of the pubic symphysis often results in a poor outcome and reduced mobility of the patient. In some cases, an arthrodesis of the pubic symphysis is required. Until today, there is no data published how many of these procedures are performed annually and there is also no data about the outcome after this extensive surgery. Methods We developed a novel surgical technique to address the arthrodesis of the pubic symphysis in a minimally invasive approach. Therefore, we used for this purpose modified instruments and performed the transplantation of a cylindrical bone substitute into the pubic symphysis, without an extensive approach or dissecting the anterior or posterior symphyseal ligaments. Results Using this novel technique, a minimally invasive symphysiodesis was achieved in radiological findings, after the procedure. Conclusion Thus, this actually minimally invasive surgical technique seems to be a promising advancement for the arthrodesis of the pubic symphysis.

1690: Orthotopic Renal Transplant: An Alternative Surgical Technique in Selected Cases

2006 ◽  
Vol 175 (4S) ◽  
pp. 544-544
Author(s):  
Mireia Musquera ◽  
Anna Agud ◽  
Lluis Peri ◽  
Maria Jose Ribal ◽  
Federico Oppenheimer ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Surgical Technique

V1350: Suburethral Readjustable Sling (Remeex ®) in Male Urinary Incontinence: Surgical Technique

2005 ◽  
Vol 173 (4S) ◽  
pp. 366-367 ◽  
Author(s):  
Alejandro Sousa ◽  
Monforte de Lemos
Keyword(s):  
Urinary Incontinence ◽  
Surgical Technique ◽  
Male Urinary Incontinence

Surgical Technique of Homograft Tympanoplasty

1977 ◽  
Vol 10 (3) ◽  
pp. 517-527
Author(s):  
Roger E. Wehrs
Keyword(s):  
Surgical Technique

New Surgical Technique Repairs Ingrown Toenails

2005 ◽  
Vol 38 (5) ◽  
pp. 16
Author(s):  
BETSY BATES
Keyword(s):  
Surgical Technique ◽  
Ingrown Toenails ◽  
New Surgical Technique

New Surgical Technique for Repairing Ingrown Toenails

2005 ◽  
Vol 35 (4) ◽  
pp. 38
Author(s):  
BETSY BATES
Keyword(s):  
Surgical Technique ◽  
Ingrown Toenails ◽  
New Surgical Technique

Surgical technique does not influence the long term mortality after tricuspid valve surgery

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
K.-W. Felkel ◽  
K. Kampmann ◽  
F. Hahnel ◽  
H. Reichenspurner ◽  
H. Gulbins
Keyword(s):  
Surgical Technique ◽  
Tricuspid Valve ◽  
Valve Surgery ◽  
Tricuspid Valve Surgery ◽  
Long Term Mortality
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