Clinical and functional outcomes of posterior wall fractures of the acetabulum fixed with spring plates by a posterolateral rotator-sparing approach

Arzuza-Ortega, Laura; Aguilar, Juan Reátiga

doi:10.1016/j.injury.2021.06.030

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Articular reduction is highly correlated with functional results in treating posterior wall acetabular fractures [ 2 , 4 , 5 , 20 , 21 ]. In recent years, the internal fixation of posterior wall acetabular fractures has achieved significant progress, but these fixations remain in the initial stage and cannot be widely implemented in clinical practice [ 24 – 26 ]. Accurate assessment of fracture characteristics, adequate preoperative surgical planning, and custom-made plates and screws can ensure the success of acetabular surgery, especially for younger and less experienced surgeons [ 13 – 16 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

et al. 2022

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Background Posterior wall acetabular fractures remain one of the most difficult fracture injuries to treat. Accurate assessment of fracture characteristics and appropriate preoperative surgical strategies are essential for excellent reduction. This paper evaluates the feasibility and effectiveness of a one-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures. Methods 52 cases of posterior wall acetabular fractures treated surgically were selected in our department between January 2015 and December 2020 for retrospective analysis. 52 cases were classified into group A (25 patients) and group B (27 patients) according to whether computerized virtual planning procedures were performed preoperatively. In group A, virtual surgical simulation was conducted using a one-stop computerized planning system preoperatively. In group B, traditional surgery was employed. Reduction quality, surgical time, blood loss, hip function, complications, and instrumentation time were compared between the two groups. Results The actual surgery for all patients in group A was essentially the same as the virtual surgery before the operation. Compared to group B, patients in group A had markedly shorter surgical time (−43 min), shorter instrumentation time (−20 min), and less intraoperative blood loss (−130 ml). However, no significant statistical difference was observed in reduction quality and hip function. The complication rate was slightly lower in group A (4/25) than in group B (7/27), without a significant difference. Conclusion The one-stop computerized virtual planning system is a highly effective, user-friendly and educational tool for allowing the cost-efficient surgical simulation of posterior wall acetabular fractures and providing a more individualized therapeutic schedule. The one-stop computerized planning system is feasible to treat posterior wall acetabular fractures, which is an effective method than the conventional treatment of posterior wall acetabular fractures. Trial registration: retrospective registration.

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Section: Discussionmentioning

confidence: 99%

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

et al. 2022

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Complex fractures of the posterior wall of the acetabulum: current concept in the management and results of the Italian survey

ADDEVICO,

MEZZADRI,

LUNINI

et al. 2023

Minerva Orthop

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Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study

Mauro

Rovere²,

Are³

et al. 2023

JCM

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Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of spring plates in the treatment of comminuted posterior wall acetabular fractures. (2) Methods: A retrospective multicenter (four level I trauma centers) observational study was performed. Patients with a comminuted posterior wall acetabular fracture treated with a spring plate (DePuy Synthes, West Chester, PA) were included. Diagnosis was made according to the Judet and Letournel classification. Diagnosis was confirmed with plain radiographs in an antero-posterior view and Judet views, iliac and obturator oblique views, and thin-slice CT with multiplanar reconstructions. (3) Results: Forty-six patients (34 males and 12 females) with a mean age of 51.7 years (range 19–73) were included. The most common mechanism of injury was motor vehicle accident (34 cases). In all cases, spring plates were placed under an overlapping reconstruction plate. The mean follow-up was 33.4 months (range 24–48). The mean period without weight-bearing was 4.9 weeks (range 4–7), and full weight-bearing was allowed at an average of 8.2 weeks (range 7–11) after surgery. (4) Conclusions: According to the present data, spring plates can be considered a viable additional fixation of the posterior wall acetabular fractures.

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Clinical and functional outcomes of posterior wall fractures of the acetabulum fixed with spring plates by a posterolateral rotator-sparing approach

Cited by 3 publications

References 33 publications

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures

Complex fractures of the posterior wall of the acetabulum: current concept in the management and results of the Italian survey

Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study

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