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Scientific article
English

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

Contributors

Peter, Robin

Published in

Injury, vol. 46 Suppl 1, p. S2-7

Publication date

2015

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

UNIGE affiliation entities

UNIGE research groups

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. doi: 10.1016/S0020-1383(15)70003-3

Main files (1)

Article (Accepted version)

Identifiers

Journal ISSN

0020-1383
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Technical informations

Creation

01/12/2016 11:10:00

First validation

01/12/2016 11:10:00

Update

30/04/2026 12:01:07

Status update

30/04/2026 12:01:07

Last indexation

30/04/2026 12:02:17
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