Open reduction and internal fixation of osteoporotic acetabular fractures through the ilio-inguinal approach: use of buttress plates to control medial displacement of the quadrilateral surface
| Autor: | Robin Peter |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Pelvic brim medicine.medical_specialty Buttress Osteoporotic Fractures/physiopathology/surgery Arthroplasty Replacement Hip medicine.medical_treatment Osteoarthritis Acetabulum/injuries/surgery Fracture Fixation Internal Arthroplasty Replacement Hip/methods Switzerland/epidemiology Bone plate Humans Medicine Internal fixation Reduction (orthopedic surgery) Aged Retrospective Studies General Environmental Science Aged 80 and over ddc:617 business.industry Fracture Fixation Internal/instrumentation/methods Acetabular fracture Acetabulum medicine.disease Surgery Treatment Outcome medicine.anatomical_structure General Earth and Planetary Sciences Female business Bone Plates Osteoporotic Fractures Switzerland |
| Zdroj: | Injury, Vol. 46 Suppl 1 (2015) pp. S2-7 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/s0020-1383(15)70003-3 |
| Popis: | The number of acetabular fractures in the geriatric population requiring open reduction and internal fixation is increasing. Fractures with medial or anterior displacement are the most frequent types, and via the ilio-inguinal approach buttress plates have proved helpful to maintain the quadrilateral surface or medial acetabular wall. Seven to ten hole 3.5 mm reconstruction plates may be used as buttress plates, placed underneath the usual pelvic brim plate. This retrospective study presents our results with this technique in 13 patients at a minimum follow-up of 12 months (average, 31 months). 85% of the patients had a good result. The early onset of post-traumatic osteoarthritis necessitated total hip arthroplasty in two patients (15%) at 12 and 18 months follow-up, respectively. This treatment option should be considered in the surgeon's armamentarium when fixing these challenging cases. |
| Databáze: | OpenAIRE |
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