Modified one third tubular plate (spring plate) augmented with reconstruction plates for treatment of comminuted posterior wall acetabular fractures, Short to midterm outcomes of 24 patients.
| Autor: | Ibrahim MAA; orthopedic department Al-Azhar University-Cairo -Egypt., Elgahel MM; orthopedic department Al-Azhar University - Cairo- Egypt., Gouda SA; orthopedic department Al-Azhar University - Damietta- Egypt., Hassaan MM; orthopedic department Jazan university- Saudi Arabia., Khired ZA; orthopedic department Jazan university - Saudi Arabia., Aljonaid M; orthopedic department king Faisal specialty hospital& research center-Madina, Saudi Arabia., Rohayem M; orthopedic department Tanta University- Egypt. |
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| Jazyk: | angličtina |
| Zdroj: | Orthopedic reviews [Orthop Rev (Pavia)] 2024 May 13; Vol. 16, pp. 116902. Date of Electronic Publication: 2024 May 13 (Print Publication: 2024). |
| DOI: | 10.52965/001c.116902 |
| Abstrakt: | The most common form of acetabular fracture is believed to be the posterior wall; its incidence ranges from 25% to 47%. Managing such fractures has been difficult in the past and until recently. To obtain a favorable functional outcome, an accurate diagnosis and a well-executed treatment strategy are essential. Objective: To evaluate the clinical and functional outcomes of employing a spring plate augmented by a traditional 3.5 mm reconstruction plate for the treatment of comminuted posterior wall acetabular fractures. Patients and Methods: A prospective case series was performed on 24 patients with comminuted fractures of the posterior wall. After an average of 6 days, the patients underwent surgery. Eighteen patients were fixed with one spring plate, six patients were fixed with two spring plates, and all were reinforced with a 3.5-mm reconstruction plate. Each case was followed once every three months until the fracture healed and then regularly every six months thereafter. Results: There were 21 men and 3 women. The average follow-up period was 14 months, and the median age was 34.5 years. The main reason for injuries was motor vehicle collisions. The mean operation time was 107.5 min. The clinical results were evaluated by the MAP and m HHS, and the means were 10.2 (5-12) and 86 (64-96), respectively. Only two patients developed avascular necrosis and were treated by total hip replacement, another three (12.5%) had mild arthritis. Conclusion: Comminuted acetabulum posterior wall fractures can be stabilized with spring plates. It could be used in conjunction with the primary reconstruction plate as a viable alternative for stable and anatomical reduction. High patient satisfaction and good functional results make this approach effective. Competing Interests: The authors declare that they have no relevant financial or non-financial interests to report.There are no conflicts of interest in the manuscript, including financial, consultant, institutional and other relationships that might lead to bias or a conflict of interest. Authors had no disclosing of any financial ties to the subject of this research. |
| Databáze: | MEDLINE |
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