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Archives of Orthopaedic and Trauma Surgery

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01-11-2019 | Acetabular Fracture | Trauma Surgery

Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique

Authors: Jae-Woo Cho, Hoe Jeong Chung, Beom-Soo Kim, Do-Hyun Yeo, Jong-Hyeop Song, Chang-Wug Oh, Cyril Mauffrey, Won-Tae Cho, Jong-Keon Oh

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2019

Abstract

Purpose

The purposes of the study were to introduce surgical technique of fragment-specific fixation technique using multiple 2.7-mm variable-angle locking compression plates (VA LCPs) in comminuted posterior wall acetabular fractures and reported its clinical results.

Patients and methods

Among the 68 patients, 23 with comminuted posterior wall factures with ≥ 3 fragments in the CT scan and no column involvement with a minimum follow-up duration of 12 months were enrolled in this study. We evaluated the clinical results after the treatment of comminuted posterior wall acetabular fractures via the fragment-specific fixation technique using 2.7-mm variable-angle locking compression plates (VA LCPs) retrospectively.

Results

The average duration of follow-up was 26.8 months. Anatomical reduction was achieved in eighteen patients. Imperfect reduction was achieved in five patients. 22 patients achieved fracture union and one patient underwent revision surgery owing to acute postoperative infection. There were no complications, including loss of reduction, fixative failures, sciatic nerve palsy, heterotopic ossification, and early posttraumatic arthritis among 22 patients. The average functional outcome was measured as ‘very good’.

Conclusion

Fragment-specific fixation technique using 2.7-mm VA LCPs for comminuted posterior wall acetabular fractures could be an acceptable alternative means of surgical fixation.

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Title: Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique
Authors: Jae-Woo Cho
Hoe Jeong Chung
Beom-Soo Kim
Do-Hyun Yeo
Jong-Hyeop Song
Chang-Wug Oh
Cyril Mauffrey
Won-Tae Cho
Jong-Keon Oh
Publication date: 01-11-2019
Publisher: Springer Berlin Heidelberg
Keyword: Acetabular Fracture
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2019
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03236-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique

Abstract

Purpose

Patients and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Patients and methods

Results

Conclusion

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