Percutaneous retrograde screwing for stabilisation of acetabular fractures

Quadrilateral plate fractures of the acetabulum: An update

“…2,6,11,17,25,[30][31][32][33][34][35][36][37][38][39][40] They report on 353 acetabular fractures of which 213 were treated non-operatively (Table 1) and 140 treated operatively (Table 2). Various radiographic scoring techniques have been used to describe the quality of reduction 18,[41][42][43][44][45] and osteoarthritic changes.…”

“…13,17,23 Traction commits the patient to six to eight weeks of bed rest and non-weight bearing and in the elderly can be fraught with medical complications. 13,15,17,25 The well documented disadvantages of prolonged immobilisation in cases with neck of femur fractures exist in the elderly population with an acetabular fracture. 23 Open reduction and internal fixation is considered the standard of care for most displaced acetabular fractures.…”

“…Mouhsine et al 25 in 2005 achieved satisfactory radiological and clinical results with percutaneous screws in 17/18 elderly patients with transverse, T-type or both column fractures with minimal (<2 mm) initial displacement. There were no complications, all fractures healed with no secondary displacement, degenerative changes or screw failure.…”

“…These refer to 140 different cases as reported in 12 studies 6,11,17,25,31,[34][35][36][37][38][39][40] published between the years 1956 and 2012 (Table 2).…”

“…4,20,24 The current consensus regarding the contemporary aims of acetabular fracture treatment are to relieve pain, allow early mobilisation, restore function by restoring the normal hip joint anatomy; thereby limiting the risk of early post-traumatic arthritis using the modality that offers the greatest chance of success. 6,7,13,16,25,26 Selection of a specific method of treatment of any acetabular fracture depends on numerous factors including age, functional status, fracture pattern, degree of displacement, associated injuries pre-existing local and general condition as well as the available surgical expertise. 3,20,27 Current treatment options for acetabular fractures include both conservative and operative methods.…”