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    <Identifier>26dkou053</Identifier>
    <IdentifierDoi>10.3205/26dkou053</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-26dkou0534</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">An innovative pubic symphyseal plate for the treatment of open-book injury: A biomechanical feasibility study</Title>
    </TitleGroup>
    <CreatorList>
      <Creator>
        <PersonNames>
          <Lastname>Alabdulrahman</Lastname>
          <LastnameHeading>Alabdulrahman</LastnameHeading>
          <Firstname>Hatem</Firstname>
          <Initials>H</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Klinik f&#252;r Orthop&#228;die und Unfallchirurgie&#47;Uniklinik Aachen, Aachen, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="yes">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Hildebrand</Lastname>
          <LastnameHeading>Hildebrand</LastnameHeading>
          <Firstname>Frank</Firstname>
          <Initials>F</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Klinik f&#252;r Orthop&#228;die und Unfallchirurgie&#47;Uniklinik Aachen, Aachen, Deutschland</Affiliation>
          <Affiliation>Klinik f&#252;r Orthop&#228;die und Unfallchirurgie&#47;Uniklinik Aachen, Aachen, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Berk</Lastname>
          <LastnameHeading>Berk</LastnameHeading>
          <Firstname>Till</Firstname>
          <Initials>T</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Klinik f&#252;r Orthop&#228;die und Unfallchirurgie&#47;Uniklinik Aachen, Aachen, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
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      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
      </Publisher>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
    </SubjectGroup>
    <DatePublishedList>
     <DatePublished>20261020</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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      <Meeting>
        <MeetingId>M0659</MeetingId>
        <MeetingSequence>053</MeetingSequence>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Orthop&#228;die und Unfallchirurgie</MeetingCorporation>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Orthop&#228;die und Orthop&#228;dische Chirurgie</MeetingCorporation>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Unfallchirurgie</MeetingCorporation>
        <MeetingCorporation>Berufsverband f&#252;r Orthop&#228;die und Unfallchirurgie</MeetingCorporation>
        <MeetingName></MeetingName>
        <MeetingTitle>Deutscher Kongress f&#252;r Orthop&#228;die und Unfallchirurgie (DKOU 2026)</MeetingTitle>
        <MeetingSession>Abstracts &#124; Geriatrische Beckenverletzungen</MeetingSession>
        <MeetingCity>Berlin</MeetingCity>
        <MeetingDate>
          <DateFrom>20261020</DateFrom>
          <DateTo>20261023</DateTo>
        </MeetingDate>
      </Meeting>
    </SourceGroup>
    <ArticleNo>DKOU26&#95;Abs&#95;2308</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Objectives and questions: </Mark1>This study proposes investigating the biomechanical stability of a novel 6-hole L-shaped plate for symphyseal fixation, which allows for reduction and stability in two planes. The results of the novel plate are compared to the standard plate.</Pgraph><Pgraph><Mark1>Material and methods: </Mark1>The novel plate fixation and the standard 6-hole pubic symphyseal plate were tested with a pelvis model simulating an APC III injury. Each group of 10 pelves was subjected to a cyclic biomechanical single-leg-stance test for 30,000 cycles simulating partial bearing loading at 1 Hz, followed by a maximum load-to-failure test. The stiffness and displacement were evaluated and analyzed.</Pgraph><Pgraph><Mark1>Results: </Mark1>Stiffness measurements during cyclic loading revealed no significant differences between the groups (p &#61; 0.514). The cumulative plastic deformation was significantly lower in the novel plate group (p &#61; 0.005). Load-to-failure testing demonstrated that both constructs exhibited similar ultimate strength, with no significant difference in the mean of maximum force between the novel (400.61 &#177; 44.65 N) and reference (433.02 &#177; 87.60 N) groups (p &#61; 0.804).</Pgraph><Pgraph><Mark1>Discussion and conclusions: </Mark1>The novel plate provides comparable biomechanical stability to the reference plate under the tested cyclic loading conditions, suggesting that it could be a viable alternative to the existing standard. However, further research is necessary to understand the clinical outcomes and long-term impacts.</Pgraph></TextBlock>
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