Posterior wall reconstruction using iliac crest strut graft in severely comminuted posterior acetabular wall fracture

Sen, Ramesh Kumar; Trıpathy, Sujit Kumar; Aggarwal, Sameer; Tamuk, Tajir

doi:10.1007/s00264-010-1177-3

Cited by 24 publications

(26 citation statements)

References 16 publications

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“…We were able to obtain an acceptable result in 96.6 % of the acetabular fractures-82.8 % anatomic and 13.8 % satisfactory reduction-which is in keeping with previous studies [12,[21][22][23][24]. And the lateral approach on the iliac crest was used in 25 patients with high anterior column fractures exiting the iliac crest or requiring placement of posterior column lag screws.…”

Section: Discussionsupporting

confidence: 85%

Newly modified Stoppa approach for acetabular fractures

Liu

Yang

et al. 2013

International Orthopaedics (SICOT)

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Purpose We present our experience of using a newly modified Stoppa approach combined with a lateral approach to the iliac crest in patients with acetabular fractures in reference to fracture reduction and fixation, technical aspects, and the incidence of complications. Methods We used a consecutive group of 29 adult patients with acetabular fractures treated operatively with a newly modified Stoppa approach between 2009 and 2011. The newly modified Stoppa approach was performed to fix the acetabular fractures with main anterior displacement and the anterior and lateral parts of the pelvis. This approach was combined with a lateral approach on the iliac crest for fractures of the iliac wing. Results All the patients were followed up for at least 1.5 years. Of the 29 patients, ten anterior column, two associated both column, seven anterior column with posterior hemi-transverse, four transverse, and six T-type fractures. The average blood loss was 950 mL, and average operative time was 155 minutes. Anatomic or satisfactory reduction was achieved in 96 % of the acetabular fractures. Two patients had mild symptoms of the lateral femoral cutaneous nerve and improved within three months. Conclusions The newly modified Stoppa approach provides excellent visualization to the anterior column, quadrilateral surface and permits good postoperative results for treatment of acetabular fractures. We considered this technique as a viable alternative for the ilioinguinal approach when exposure of the anterior acetabulum is needed.

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Section: Discussionsupporting

confidence: 85%

Newly modified Stoppa approach for acetabular fractures

Liu

Yang

et al. 2013

International Orthopaedics (SICOT)

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“…1b). Even though the quadrilateral surface is an important anatomical structure and essential to surgical reduction of fractures of the acetabulum, it has not been a part of the systems developed for classifying these fractures [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The study of broken quadrilateral surface in fractures of the acetabulum

Prasartritha

Chaivanichsiri

2013

International Orthopaedics (SICOT)

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Purpose Three-dimensional computerised tomography (3DCT) can provide comprehensive patho-anatomy of complex bone on a single image. Though important, the key articular quadrilateral [Q] surface has not been a part of the systems developed for classifying acetabulum fractures. The purpose of the study was to simplify the complexity of classification by the direct sign of the broken Q surface which lies opposite the entire floor of the acetabulum. Methods The study reviewed 84 acetabular fractures using 3DCT images of the interior lateral view (IL) taken between June 2002 to December 2009. Fractures were traditionally classified using the anatomical disruption, plane of the fracture line breaking through or not through the bone column described by Judet and Letournel. Results The 3D images clearly show the primary site of impaction acting on the acetabulum and the whole course of fracture. The image could not illustrate disruption of the lips of acetabulum and congruity of hip joints in 20 cases of wall (W) fracture. There were 30 transverse (T) fractures classified when the acetabulum was divided horizontally from front to back into upper and lower parts and 34 cases of column (C) fracture when the main vertical lines run and collide along the anterior and posterior column. Conclusions This study showed that the well-known complex fractures can be satisfactorily classified with the broad flat inner plane of the Q surface.

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“…A series of eight patients were evaluated clinically by Merle d'Aubigne and Postel score and radiologically by Matta score at their final follow-up. The outcome after a mean follow-up of 3.34 years (minimum two years and maximum five years) showed a good-to-excellent result in seven patients (87.5%) clinically and in five patients (62.5%) radiologically [6].…”

mentioning

confidence: 98%

“…Dear Sir, We read with interest the article entitled "Posterior wall reconstruction using iliac crest strut graft in severely comminuted posterior acetabular wall fracture" [6]. In the study, the authors used iliac crest strut graft for reconstruction of the comminuted posterior acetabular wall fracture.…”

mentioning

confidence: 99%