Traditional and modern approaches to the choice of implants in the treatment of fresh acetabulum fractures (literature review)

Abstract

One of the modern approaches aimed at improving the results of treatment of acetabulum fractures (AF) is the development of new fixators for columns and fragments of explosives. The frequency of AF fractures is from 2 to 22% of all pelvic injuries. The main cause of this injury is road accidents. In the treatment of AF fractures, open reposition and internal fixation with the use of various types of fixators, including plates made using additive technologies, are widely used. A fairly wide range of used and developed retainer designs is noted, from standard pelvic reconstructive plates, cables, wires, to modern plate designs. There is a clear trend of specialists in the widespread use of additive technologies that provide the manufacture of individual implants for the treatment of complex fractures of the AF. Analysis of the sources used has shown that reconstructive pelvic plates and cannulated screws are currently the unsurpassed leader in fixing columns and fragments of AF. More and more additive technologies are being introduced into the development and manufacture of individual plates and other fixing structures.