Epidemiology of acetabular fractures in elderly patients and the effect of various management options on the outcomes. A comprehensive narrative review

Khalifa, Ahmed A.; Mahran, Dalia Galal; Fergany, Ali; Farouk, Osama

doi:10.1016/j.ijotn.2023.101049

Cited by 1 publication

(1 citation statement)

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“… 14 Hence, using only the AIP approach for both the column fixation, we are not only able to decrease morbidity, but also reduce radiation exposure. Furthermore, the incidence of geriatric fractures has increased in last two decades 15 . Fixing acetabular fractures in the geriatric age group can be a challenge due to presence of osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

Medial surface plating of posterior column through the anterior intrapelvic approach in acetabulum fractures with involvement of both columns

Hazra,

Saha,

Mallick

et al. 2024

Bone Jt Open

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AimsPosterior column plating through the single anterior approach reduces the morbidity in acetabular fractures that require stabilization of both the columns. The aim of this study is to assess the effectiveness of posterior column plating through the anterior intrapelvic approach (AIP) in the management of acetabular fractures.MethodsWe retrospectively reviewed the data from R G Kar Medical College, Kolkata, India, from June 2018 to April 2023. Overall, there were 34 acetabulum fractures involving both columns managed by medial buttress plating of posterior column. The posterior column of the acetabular fracture was fixed through the AIP approach with buttress plate on medial surface of posterior column. Mean follow-up was 25 months (13 to 58). Accuracy of reduction and effectiveness of this technique were measured by assessing the Merle d’Aubigné score and Matta’s radiological grading at one year and at latest follow-up.ResultsImmediate postoperative radiological Matta’s reduction accuracy showed anatomical reduction (0 to 1 mm) in 23 cases (67.6%), satisfactory (2 to 3 mm) in nine (26.4%), and unsatisfactory (> 3 mm) in two (6%). Merle d’Aubigné score at the end of one year was calculated to be excellent in 18 cases (52.9%), good in 11 (32.3%), fair in three (8.8%), and poor in two (5.9%). Matta’s radiological grading at the end of one year was calculated to be excellent in 16 cases (47%), good in nine (26.4%), six in fair (17.6%), and three in poor (8.8%). Merle d’Aubigné score at latest follow-up deteriorated by one point in some cases, but the grading remained the same; Matta’s radiological grading at latest follow-up also remained unchanged.ConclusionStabilization of posterior column through AIP by medial surface plate along the sciatic notch gives good stability to posterior column, and at the same time can avoid morbidity of the additional lateral window.Cite this article: Bone Jt Open 2024;5(2):147–153.

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Section: Discussionmentioning

confidence: 99%