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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.
Journal article

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.

  • Peter RE Division of Orthopaedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland. Electronic address: robin.peter@unige.ch.
  • 2015-11-04
Published in:
  • Injury. - 2015
Acetabular fracture
Acetabulum fracture fixation
Geriatric fracture
Osteoporotic fracture
Acetabulum
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
Bone Plates
Female
Fracture Fixation, Internal
Humans
Male
Osteoporotic Fractures
Retrospective Studies
Switzerland
Treatment Outcome
English 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.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/118379
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