Preliminary results of internal fixation of symphyseal disruption using Assiut Symphyseal Plate: a novel biplanar plate design

Introduction Plate fixatio n remains the primary method of internal fixation of symphyseal fractures. Literature shows great controversy on ideal plate design for symphyseal fixation. The aim of this study is to evaluate reduction and fixation capabilities of Assiut Symphyseal Plate (ASP). Patients and methods Traumatic symphyseal injuries in 14 patients were fixed with ASP between November 2013 and June 2016. The plate is a biplanar titanium locked plate designed in Assiut University Hospital. Radiological and functional outcomes were assessed at 2, 6, and 12 months postoperatively. Results Seven patients had fracture pelvis tile type B and seven had fracture pelvis tile type C. Satisfactory reduction was achieved (Dujardin criteria; symphyseal distance 5 mm) in 12 patients. No significant loss of reduction occurred over 1 year postoperatively. Functional outcome (Majeed functional score) was excellent in 11 cases, good in two cases, and fair in one case. Conclusion ASP can be used in the fixation of symphyseal injuries safely with good radiological and functional outcome. Further studies are needed to compare results with conventional plates.