Osteosynthese von Frakturen der hinteren Wand des Azetabulums

Gänsslen, Axel; Steinke, Björn; Krettek, Christian

doi:10.1007/s00064-009-1805-5

Cited by 13 publications

(6 citation statements)

References 30 publications

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“…Furthermore, in the treatment of acetabular posterior wall fractures, anatomical reduction is particularly important. The quality of the reduction is directly linked to postoperative joint function [8,9] Gansslen et al, [10] thought that the largest fragment could be fixed with hollow screws, and that when the fracture involves the posterior column, the fixation of the fracture must be carried out with a reconstruction plate…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Fracture-Dislocation of the Femoral Head Pipkin IV: About One Case and Literature Review -Case Report

Seddik¹,

Said²,

Mohammed³

et al. 2020

SASJS

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The fracture of the Pipkin femoral head type IV is a rare pathological entity whose treatment is surgical already represented a poor prognosis. That said there are several surgical approaches to treat this delicate pathology. In the literature, the opinions of the authors diverge concerning the choice of the approach initially, but the conservation of the cephalic fragment is the rule. Regardless of the quality of care, poor and fair results are very important, estimated at 50% after 10 years, and long-term arthritis development seems to be inevitable.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Fracture-Dislocation of the Femoral Head Pipkin IV: About One Case and Literature Review -Case Report

Seddik¹,

Said²,

Mohammed³

et al. 2020

SASJS

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“…Therefore, the total operative time and blood loss in the control group was more than that observed in the study group. The avoidance of screw placement in the danger zone of the pelvis could minimize the possibility of screw penetration into the hip joint [19]. However, by not placing a screw in the danger zone, the overall stiffness of the internal fixation would be reduced, potentially leading to a loss of fixation in time.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of W-Shaped Angular Plate and Reconstruction Plate in Treating Posterior Wall Fractures of the Acetabulum

Zhang

Chen

et al. 2014

PLoS ONE

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ObjectiveThis study aims to assess the medium-term results of the reconstruction of posterior wall fractures using a W-shaped acetabular angular plate (WAAP) compared to those fixed using a reconstruction plate.MethodsBetween July 2006 and March 2009, we performed a retrospective study, which collected data for any patient treated for a posterior acetabular wall fracture. At the time of treatment, patients were either treated using a WAAP or a pelvic reconstruction plate. The intraoperative fluoroscopic images for both groups were compared. The quality of reduction and radiological grading were assessed according to the criteria developed by Matta. The clinical assessment was based on a modified Merle d’Aubigne and Postel scoring.Results53 patients met the inclusion criteria and were followed up for an average of 38 months. 25 patients were treated with a WAAP (study group), and 28 patients were treated with a pelvic reconstruction plate (control group). The intraoperative fluoroscopic images of the study group confirmed extra-articular screw placement in all cases. In the control group, intra-articular screw placement was observed intraoperatively in 5 patients (17.86%), and the definitive location of the periarticular hardware could not be determined in 4 patients (14.29%) during the operation. The differences between the two groups were statistically significant (p = 0.002). In contrast, the quality of fracture reduction, clinical outcomes, and radiological grading in the study group were not significantly different from those of the control group (p>0.05). The radiographic grade was strongly associated with the clinical outcomes in both the study and control groups (p<0.05).ConclusionReconstruction of posterior wall fractures of the acetabulum using a WAAP can help avoid screw penetration of the hip joint, provide a stable fixation of the posterior wall, and ensure good clinical outcomes.

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“…The criteria for subject inclusion were the following: age > 18 years, full medical records, the ability to load the operated limb fully, the time after surgery of 3 to 84 months. The follow-up time was determined on the basis of recommendations presented in the literature: three months after surgery, the operated limb should regain its full loading ability [3,4,17,18]; while the incidence of degenerative changes may significantly increase over 84 months post-surgery [19,20], which may significantly affect the functional state of the subjects. All patients were examined during one follow-up visit at a hospital specialist clinic.…”

Section: The Clinical Groupmentioning

confidence: 99%

“…Such forces are involved in high-energy injuries. Road traffic accidents and falls from height are the most common causes of acetabular fractures, as they constitute 76-89% and 7-20% of all such cases, respectively [2][3][4][5][6][7][8][9][10][11]. It is usually young men of working age who are affected [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

Dadura

Truszczyńska-Baszak

Szydłowski

2022

IJERPH

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(1) Fracture of the pelvis usually happens in young men and results from high-energy trauma. It generates high social and economic costs and results in further health problems. It is therefore important to assess long-term treatment results. (2) The study (NCT04902209) involved 31 patients (mean age 43.6 ± 14.8 years). We conducted fixation assessment on the basis of radiographs and CT scans and functional assessment based on functional scales. (3) We observed more degenerative changes in the less precise reconstruction of the acetabulum (p = 0.075). We did not find statistically significant relationships between the area of surgical approach, the gravity of fracture, and the development of degenerative changes. We did not find statistically significant relationships between patients’ functional states and the type of surgical approach or the complexity of the fracture. We found a positive correlation between the time of surgical treatment and patients’ functional state (p = 0.04). Patients whose joint surfaces were reconstructed anatomically had significantly higher scores in functional scales (HHS p = 0.05, Merle p = 0.03). (4) Patients after surgical fixation of the acetabulum have low functional abilities. The quality of reconstruction of the loaded surface as well as the length of time post-surgery seems to be essential for the patients’ functional state.

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Osteosynthese von Frakturen der hinteren Wand des Azetabulums

Cited by 13 publications

References 30 publications

Surgical Treatment of Fracture-Dislocation of the Femoral Head Pipkin IV: About One Case and Literature Review -Case Report

Surgical Treatment of Fracture-Dislocation of the Femoral Head Pipkin IV: About One Case and Literature Review -Case Report

Comparative Study of W-Shaped Angular Plate and Reconstruction Plate in Treating Posterior Wall Fractures of the Acetabulum

Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures

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