Clinical application of the anterior pelvic wall locking plate (APWLP) in acetabular fractures involving the quadrilateral surface

The management of acetabular quadrilateral surface fractures remains challenging for surgeons, and the treatment options for such fractures remain controversial. Quadrilateral surface surgery is a complex procedure involving combined approaches, and the quality of fracture reduction closely depends...

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Bibliographic Details
Published in:Journal of orthopaedic surgery and research 2023-01, Vol.18 (1), p.76-76, Article 76
Main Authors: Wang, ZhiDong, Wang, ZhenHeng, Chen, GuangDong, Gao, MaoFeng, Zhu, RuoFu, Yang, HuiLin
Format: Article
Language:English
Subjects:
Acetabular fracture
Acetabulum
Arthritis
Blood vessels
Bones
Classification
Female
Fractures
Hip Fractures
Hospitals
Humans
Lateral rectus
Male
Medical records
Middle Aged
Orthopedics
Patients
Pelvis
Quadrilateral surface
Retrospective Studies
Rotation
Spinal Fractures
Surgeons
Surgery
Thrombosis
Titanium alloys
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Summary:The management of acetabular quadrilateral surface fractures remains challenging for surgeons, and the treatment options for such fractures remain controversial. Quadrilateral surface surgery is a complex procedure involving combined approaches, and the quality of fracture reduction closely depends upon the surgical procedure, as well as the skill and experience of the surgeon. This study aimed to explore the clinical effects of applying an anterior pelvic wall locking plate (APWLP) through the lateral-rectus approach for treating acetabular fractures involving the quadrilateral surface. This retrospective analysis was comprised of 35 patients with acetabular fractures involving the quadrilateral surface who were treated with an APWLP in our hospital between June 2016 and December 2020. The patients included 25 males and ten females, with an average age of 52.45 years. All the patients were exposed through the lateral-rectus approach, six patients were exposed with an additional iliac fossa approach, and the fractures were fixed by combining an APWLP with a reconstruction plate. The Matta imaging standard was used to assess the quality of the fracture reduction, and the final follow-up clinical outcome was classified as excellent (18 points), good (15-17), fair (13-14), or poor (
ISSN:1749-799X
1749-799X
DOI:10.1186/s13018-022-03392-y