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International Orthopaedics

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04-10-2022 | Acetabular Fracture | Original Paper

Treatment of acetabular fracture involving anterior and posterior columns using a single pararectus approach: surgical experience and preliminary results

Authors: Tianlong Wang, Xiaodong Hou, Zifei Zhou, Junfeng Liu, Shaodi Zhang, Shuo Ge, Shaohua Jia, Longpo Zheng

Published in: International Orthopaedics | Issue 1/2023

Abstract

Purpose

This study aims to evaluate the efficacy of single pararectus approach in patients confirmed with acetabular fracture involving anterior and posterior columns.

Methods

A total of 58 patients confirmed with acetabular fracture involving anterior and posterior columns and treated at our hospital between January 2015 and January 2020 were retrospectively analyzed. A single pararectus approach was applied for all patients. Routine X-rays were performed at follow-up of one, three, six, 12, and 18 months, and three-dimensional CT scans were added at six and 18 months. Fracture reduction quality was assessed using the Matta score system, and functional assessment used the Modified Merle D’Aubigné and Postel score system. Post-operative complications, including fat liquefaction and deep vein thrombosis, were recorded and analyzed.

Results

The median operation time was 186 min while the intra-operative blood loss was 421 mL. The rate of good-to-excellent reduction was 94.8%, and the rate of good-to-excellent hip function score reached 93.1%. Seven patients presented with post-operative complications, including three intra-operative small vascular injuries, two peritoneal small perforations, one fat liquefaction, and one deep vein thrombosis.

Conclusion

Using a single pararectus approach is convenient and effective for treating acetabular fracture involving anterior and posterior columns, especially those involving the quadrilateral area.

Trial registration

ChiCTR, ChiCTR2100054604. Registered 21 December 2022. Retrospectively registered, http://www.chictr.org.cn/showproj.aspx?proj=144783.

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Title: Treatment of acetabular fracture involving anterior and posterior columns using a single pararectus approach: surgical experience and preliminary results
Authors: Tianlong Wang
Xiaodong Hou
Zifei Zhou
Junfeng Liu
Shaodi Zhang
Shuo Ge
Shaohua Jia
Longpo Zheng
Publication date: 04-10-2022
Publisher: Springer Berlin Heidelberg
Keyword: Acetabular Fracture
Published in: International Orthopaedics / Issue 1/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-022-05587-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of acetabular fracture involving anterior and posterior columns using a single pararectus approach: surgical experience and preliminary results

Abstract

Purpose

Methods

Results

Conclusion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Trial registration

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