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Title

Open reduction and internal fixation of osteoporotic acetabular fractures through the ilio-inguinal approach: use of buttress plates to control medial displacement of the quadrilateral surface
Author
Peter, Robin
Published in Injury. 2015, vol. 46 Suppl 1, p. S2-7
Abstract The number of acetabular fractures in the geriatric population requiring open reduction and internal fixation is increasing. Fractures with medial or anterior displacement are the most frequent types, and via the ilio-inguinal approach buttress plates have proved helpful to maintain the quadrilateral surface or medial acetabular wall. Seven to ten hole 3.5 mm reconstruction plates may be used as buttress plates, placed underneath the usual pelvic brim plate. This retrospective study presents our results with this technique in 13 patients at a minimum follow-up of 12 months (average, 31 months). 85% of the patients had a good result. The early onset of post-traumatic osteoarthritis necessitated total hip arthroplasty in two patients (15%) at 12 and 18 months follow-up, respectively. This treatment option should be considered in the surgeon's armamentarium when fixing these challenging cases.
Keywords Acetabulum/injuries/surgery — Aged — Aged, 80 and over — Arthroplasty, Replacement, Hip/methods — Bone Plates — Female — Fracture Fixation, Internal/instrumentation/methods — Humans — Male — Osteoporotic Fractures/physiopathology/surgery — Retrospective Studies — Switzerland/epidemiology — Treatment Outcome
Identifiers
PMID: 26528936
Full text
Article (Author postprint) (674 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Research group Thérapie cellulaire et troubles musculo-squelettiques (960)
Citation
(ISO format) 		PETER, Robin. Open reduction and internal fixation of osteoporotic acetabular fractures through the ilio-inguinal approach: use of buttress plates to control medial displacement of the quadrilateral surface. In: Injury, 2015, vol. 46 Suppl 1, p. S2-7. https://archive-ouverte.unige.ch/unige:90163

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Deposited on : 2016-12-08

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