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Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture
Patients with pubic symphysis instability who had failed nonoperative treatments may benefit from surgical repair. This disease process is rare, most commonly seen in postpartum women and athletes, and its surgical treatment is invasive and nonphysiological. Currently described surgical intervention...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786148/ https://www.ncbi.nlm.nih.gov/pubmed/29379710 http://dx.doi.org/10.1016/j.eats.2017.08.045 |
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author | Arner, Justin W. Albers, Marcio Zuckerbraun, Brian S. Mauro, Craig S. |
author_facet | Arner, Justin W. Albers, Marcio Zuckerbraun, Brian S. Mauro, Craig S. |
author_sort | Arner, Justin W. |
collection | PubMed |
description | Patients with pubic symphysis instability who had failed nonoperative treatments may benefit from surgical repair. This disease process is rare, most commonly seen in postpartum women and athletes, and its surgical treatment is invasive and nonphysiological. Currently described surgical interventions, although limited, include plating, which provides an overly rigid construct with the risk of failure and possibly poor long-term outcomes particularly in athletes, and treatments such as curettage, more commonly used in the treatment of osteitis pubis. An emerging option is minimally invasive laparoscopic fixation using knotless anchors with a tape suture in a crisscross configuration. This possibly allows more physiological movement of the pubic symphysis in a less invasive manner. A detailed technical description and discussion of the technique are provided. |
format | Online Article Text |
id | pubmed-5786148 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-57861482018-01-29 Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture Arner, Justin W. Albers, Marcio Zuckerbraun, Brian S. Mauro, Craig S. Arthrosc Tech Technical Note Patients with pubic symphysis instability who had failed nonoperative treatments may benefit from surgical repair. This disease process is rare, most commonly seen in postpartum women and athletes, and its surgical treatment is invasive and nonphysiological. Currently described surgical interventions, although limited, include plating, which provides an overly rigid construct with the risk of failure and possibly poor long-term outcomes particularly in athletes, and treatments such as curettage, more commonly used in the treatment of osteitis pubis. An emerging option is minimally invasive laparoscopic fixation using knotless anchors with a tape suture in a crisscross configuration. This possibly allows more physiological movement of the pubic symphysis in a less invasive manner. A detailed technical description and discussion of the technique are provided. Elsevier 2017-12-11 /pmc/articles/PMC5786148/ /pubmed/29379710 http://dx.doi.org/10.1016/j.eats.2017.08.045 Text en © 2017 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Arner, Justin W. Albers, Marcio Zuckerbraun, Brian S. Mauro, Craig S. Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title | Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title_full | Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title_fullStr | Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title_full_unstemmed | Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title_short | Laparoscopic Treatment of Pubic Symphysis Instability With Anchors and Tape Suture |
title_sort | laparoscopic treatment of pubic symphysis instability with anchors and tape suture |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786148/ https://www.ncbi.nlm.nih.gov/pubmed/29379710 http://dx.doi.org/10.1016/j.eats.2017.08.045 |
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