Acetabular reduction techniques viathe anterior approach

Tornetta, Paul; Riina, Joseph

doi:10.1016/s1048-6666(97)80058-4

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…1,12,14 Spring plates over the pelvic brim have been described through anterior approaches using T-shaped, one third tubular, or reconstruction plates. 4,8 Spring plates may not provide rigid fixation to prevent medial subluxation, whereas plate application in the same plane of displacement improves fixation compared with spring plates, particularly in difficult fractures. 5 Therefore, short push plates, like reconstruction or T-shaped types, with posterior screws into the pelvisacral aspect of the ilium have been described through an ilioinguinal 4,5,8 or a modified Stoppa approach, 7,13,14 which has also been used for long infrapectineal plating.…”

Section: Discussionmentioning

confidence: 99%

“…4,8 Spring plates may not provide rigid fixation to prevent medial subluxation, whereas plate application in the same plane of displacement improves fixation compared with spring plates, particularly in difficult fractures. 5 Therefore, short push plates, like reconstruction or T-shaped types, with posterior screws into the pelvisacral aspect of the ilium have been described through an ilioinguinal 4,5,8 or a modified Stoppa approach, 7,13,14 which has also been used for long infrapectineal plating. 4,7 Despite improved fixation with infrapectineal plates in comminuted and osteoporotic fractures of the medial wall, there are limiting technical considerations (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…2,4 Other techniques use spring plates contoured over the pelvic brim with a medial-buttressing limb or push plates and infrapectineal plates applied directly to the true pelvic aspect of the acetabulum. 5,7,8 Spring plates may not provide the desirable stability in some fractures, 5 whereas application of infrapectineal plates, despite effectiveness, has reported difficulties, approach-related considerations, and special surgical risks. 4,5,7 Cerclage wires and cables through the greater sciatic notch encircle the ilium from the top of the notch to the interspinous region on the anterior iliac border, a line superior to medial wall fractures.…”

Section: Introductionmentioning

confidence: 99%

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Cerclage Wire-Plate Composite for Fixation of Quadrilateral Plate Fractures of the Acetabulum: A Checkrein and Pulley Technique

Farid

2010

Journal of Orthopaedic Trauma

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Acetabular fractures with complete or incomplete quadrilateral plate separation frequently present with central displacement of the femoral head. Failure of stable fixation of medial wall fractures leaves residual subluxation despite reduction of other fracture components. Several fixation techniques may be either technically demanding or insufficient for stable fixation in conditions of comminution, osteoporosis, or neglected injuries. The proposed wire-plate composite uses a reconstruction spring plate over the pelvic brim for medial wall buttressing. One hole on its true pelvic limb provides a pulley to deviate a cerclage wire or cable passed through the greater sciatic notch into the true pelvis. This enhances buttressing against medial protrusion. Application through anterior approaches is simple and fixation is reliable in difficult fractures without the risk of joint penetration because all quadrilateral plate buttressing implants remain extraosseous.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cerclage Wire-Plate Composite for Fixation of Quadrilateral Plate Fractures of the Acetabulum: A Checkrein and Pulley Technique

Farid

2010

Journal of Orthopaedic Trauma

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Azetabulumfraktur

2010

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Fractures of the acetabulum are a challenge in terms of orientation and the surgical skills of the orthopedic trauma surgeon. Due to the surrounding soft tissues and because of the indirect reduction control, operative treatment of acetabular fractures can be very demanding. This review includes the anatomical and clinical features, the radiological diagnostic approach, the classification systems, and, in particular, the surgical approaches and treatment principles. The work houses for surgical approaches are the ilioinguinal and the posterior (Kocher-Langenbeck) approach. In view of the high complication rate, the extended approaches are of less relevance. The therapeutic relevance of recent developments including navigation is discussed.

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Acetabular reduction techniques viathe anterior approach

Cited by 2 publications

References 8 publications

Cerclage Wire-Plate Composite for Fixation of Quadrilateral Plate Fractures of the Acetabulum: A Checkrein and Pulley Technique

Cerclage Wire-Plate Composite for Fixation of Quadrilateral Plate Fractures of the Acetabulum: A Checkrein and Pulley Technique

Azetabulumfraktur

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