The use of buttress plates in the management of acetabular fractures with quadrilateral plate involvement: is it still a valid option?

被引:42
作者
Tosounidis, Theodoros H. [1 ,2 ]
Gudipati, Suribabu [1 ]
Panteli, Michalis [1 ]
Kanakaris, Nikolaos K. [1 ]
Giannoudis, Peter V. [1 ,2 ]
机构
[1] Univ Leeds, Acad Dept Trauma & Orthopaed Surg, Leeds Gen Infirm, Leeds LS1 3EX, W Yorkshire, England
[2] Chapel Allerton Hosp, NIHR Leeds Biomed Res Unit, Leeds LS7 4SA, W Yorkshire, England
关键词
Quadrilateral plate; Acetabular fracture; Acetabular reconstruction; Buttress/spring plate; Ilioinguinal approach; MODIFIED STOPPA APPROACH; INTERNAL-FIXATION; SCREW PLACEMENT; OMEGA PLATE; REDUCTION; CERCLAGE;
D O I
10.1007/s00264-015-2883-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The primary aim of this study was to report on the mid-term outcomes after quadrilateral plate reconstruction of acetabular fractures using a buttress/spring plate through an ilioinguinal approach. Between 2003 and 2011, 30 adult patients (25 males) with mean age 54 years (range 17-80) who underwent surgical fixation for an acetabular fracture and had minimum follow up of 24 months (mean 46.2, range 24-78.6) were retrospectively reviewed. Standard demographics, admission and hospitalization data (concomitant injuries, number of operative procedures, time to operating theatre, early and late complications) were correlated to the clinical (Harris Hip Score) and radiological (Matta Reduction Score and Matta Arthritis Score) outcome. Three patients underwent a Total Hip Replacement. Functional score was excellent in 17 (56.6 %), good in 4 (13.3 %), fair in 6 (20 %) and poor in 3 (10 %) cases. Surgery-related complications included two patients with temporary lateral femoral cutaneous palsy and three with heterotopic ossification. The quality of the postoperative reduction was associated to Harris Hip Score (p = 0.015) and postoperative arthritis (p = 0.010). Strong association was evident between age and both post-operative reduction (p = 0.010) and arthritis (p = 0.014). The presence of quadrilateral plate comminution and gull-sign were associated to poor post-operative reduction (p = 0.016) and low Harris Hip Score (p = 0.049) respectively. Quadrilateral plate reconstruction with a buttress plate though the ilioinguinal approach remains a valid method of fixation in acetabular surgery. Additional studies are needed to compare the efficiency of this method to new surgical approaches and fixation implants.
引用
收藏
页码:2219 / 2226
页数:8
相关论文
共 32 条
[1]   Short-segment fixation through a limited ilioinguinal approach for treating anterior acetabular fractures: a historical-control study [J].
Abo-Elsoud, Mohamed ;
Radwan, Yasser A. ;
Gobba, Mohamed ;
Sadek, Fouad .
INTERNATIONAL ORTHOPAEDICS, 2014, 38 (07) :1469-1475
[2]   The "Gull sign" - A harbinger of failure for internal fixation of geriatric acetabular fractures [J].
Anglen, JO ;
Burd, TA ;
Hendricks, KJ ;
Harrison, P .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2003, 17 (09) :625-634
[3]   Treatment of Protrusio Fractures of the Acetabulum in Patients 70 Years and Older [J].
Archdeacon, Michael T. ;
Kazemi, Namdar ;
Collinge, Cory ;
Budde, Bradley ;
Schnell, Scott .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2013, 27 (05) :256-261
[4]  
BARNES SN, 1976, CLIN ORTHOP RELAT R, P276
[5]   Mid-term results in relation to age and analysis of predictive factors after fixation of acetabular fractures using the modified Stoppa approach [J].
Bastian, J. D. ;
Tannast, M. ;
Siebenrock, K. A. ;
Keel, M. J. B. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2013, 44 (12) :1793-1798
[6]   Infra-Acetabular Corridor-Technical Tip for an Additional Screw Placement to Increase the Fixation Strength of Acetabular Fractures [J].
Culemann, Ulf ;
Marintschev, Ivan ;
Gras, Florian ;
Pohlemann, Tim .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2011, 70 (01) :244-246
[7]   Acetabular fractures in patients aged > 55 years A SYSTEMATIC REVIEW OF THE LITERATURE [J].
Daurka, J. S. ;
Pastides, P. S. ;
Lewis, A. ;
Rickman, M. ;
Bircher, M. D. .
BONE & JOINT JOURNAL, 2014, 96B (02) :157-163
[8]   Cerclage Wire-Plate Composite for Fixation of Quadrilateral Plate Fractures of the Acetabulum: A Checkrein and Pulley Technique [J].
Farid, Yasser R. .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2010, 24 (05) :323-328
[10]   FRACTURES OF THE ACETABULUM - CLASSIFICATION AND SURGICAL APPROACHES FOR OPEN REDUCTION - PRELIMINARY REPORT [J].
JUDET, R ;
JUDET, J ;
LETOURNEL, E .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1964, 46 (08) :1615-&