Indirect Reduction of Posterior Column through Ilioinguinal Approach in Case of Both Column Fractures

Kang, Chul Hyung; Lee, Kyung Jae; Min, Byung Woo; Jung, Jae Hun

doi:10.5371/jkhs.2009.21.4.334

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…In order to achieve precise reductions, it is important to choose a surgical approach appropriate for each fracture type according to the AO fracture and dislocation classification 21) . In both-column acetabular fractures in particular, an extensile approach is considered as a better option for more precise reductions; however, the results of a previous study found satisfactory outcomes from indirect reductions of the posterior column using an ilioinguinal approach 22) . Isaacson et al 23) obtained satisfactory outcomes in anterior-column and both-column acetabular fractures using the Stoppa approach.…”

Section: Discussionmentioning

confidence: 98%

Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures

Shin

et al. 2015

Hip & Pelvis

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PurposeThe aim of this study was to analyze the factors affecting the outcomes after surgical treatment of acetabular fractures.Materials and MethodsBetween January 2000 and December 2012, 106 patients with acetabular fractures were treated with open reduction and internal fixation. We performed a retrospective cohort study to analyze the factors which may influence a patient's prognosis after surgical treatment of an acetabular fracture. The factors examined included age, femoral head injury, fracture type, dislocation, initial displacement, delay to injury-related surgery (in days), and quality of reduction. Additionally, we investigated clinical and radiological outcomes, as well as the development of osteoarthritis.ResultsPatients included 85 males (80.2%) and 21 females (18.8%) with a mean age of 50.4 (17-78) years. The mean follow-up period was 2.6 (1-10) years. In a univariable regression analysis, quality of reduction, age, and initial displacement were significantly associated with radiological and clinical outcomes. In a multivariable regression analysis, quality of reduction (P<0.001) and initial displacement (P=0.001) were found to be factors predictive of clinical and radiological outcomes. Additionally, the quality of reduction (P=0.005) was found to be predictive of osteoarthritis development.ConclusionStudy results indicated that the quality of reduction was the most important factor influencing the prognosis of patients with acetabular fractures.

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Section: Discussionmentioning

confidence: 98%

Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures

Shin

et al. 2015

Hip & Pelvis

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Modified Stoppa Approach in Acetabular Fractures

Kim

2014

J Korean Fract Soc

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Purpose:The purpose of this study is to evaluate the clinical results of modified Stoppa approach in acetabular fractures. Materials and Methods: Twelve patients who underwent surgery using the modified Stoppa approach for acetabular fractures were enrolled. There were 10 cases of isolated acetabular fracture, two cases of acetabular fracture combined with pelvic ring injury. There were two cases of anterior column fracture, nine cases of both column fracture, and one case of T-type fracture according to Letournel classification. The clinical outcomes were evaluated from Harris hip score (HHS) at postoperative one year and complications. The radiologic result was evaluated according to Matta criteria; anatomical, imperfect, and poor. Results: According to the radiological results, there were eight cases of anatomical, three cases of imperfect, and one case of poor reduction. The average HHS was 82.5 and 10 patients had excellent or good results. The other two patients had poor results due to lumbosacral plexopathy and poor reduction, respectively. The complication included one case of incomplete sciatic nerve palsy, which was recovered at postoperative three months. Conclusion: Internal fixation of acetabular fractures using the modified Stoppa approach had satisfactory clinical and radiological outcomes. The modified Stoppa approach can be a useful option for acetabular fractures with appropriate indication and anatomical information.

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Cerclage Clamping Using Cerclage Passer for Reduction of Anterior and Posterior Column Fracture

Park

Cho

Kim

et al. 2016

J Korean Orthop Assoc

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Purpose: Both column and T-shaped acetabular fractures are frequently presented with difficulty in reduction. Incomplete reduction may cause traumatic arthritis in the hip joint, resulting in inferior clinical outcomes. The purpose of this study is to introduce our wiring technique and to report the clinical and radiological outcomes of such technique. Materials and Methods: Eight patients who underwent our proposed technique for having acetabular fracture with displaced quadrilateral plate between March 2013 and December 2014 were enrolled. All patients were followed-up more than 1 year. The wire passer was set up from an anterolateral aspect of the iliac crest to the greater sciatic notch, between the abductor muscle and the periosteum. The quadrilateral plate of acetabular fracture was reduced with wiring. Internal fixation was added to the pelvic brim. An analysis of the clinical and radiological outcomes was performed. Results: Reduction was performed within the 3 mm intra-articular step-off in all patients. The mean duration of union was 11.8 weeks (9-15 weeks). Five patients (62.5%) showed excellent results, and radiologically, three patients (37.5%) showed good results, and seven patients (87.5%) showed better than good results. Conclusion: The cerclage wiring fixation technique using a large cerclage passer instrument can be a useful and safe reduction method in some cases of acetabular fractures.

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Indirect Reduction of Posterior Column through Ilioinguinal Approach in Case of Both Column Fractures

Cited by 4 publications

References 8 publications

Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures

Analysis of Predictors of Results after Surgical Treatment of Acetabular Fractures

Modified Stoppa Approach in Acetabular Fractures

Cerclage Clamping Using Cerclage Passer for Reduction of Anterior and Posterior Column Fracture

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