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Archives of Orthopaedic and Trauma Surgery

, Volume 139, Issue 11, pp 1587–1597 | Cite as

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

  • Jae-Woo Cho
  • Hoe Jeong Chung
  • Beom-Soo Kim
  • Do-Hyun Yeo
  • Jong-Hyeop Song
  • Chang-Wug Oh
  • Cyril Mauffrey
  • Won-Tae ChoEmail author
  • Jong-Keon OhEmail author
Trauma Surgery

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.

Keywords

Fixation Posterior wall acetabular fracture Comminuted Fragment specific Variable-angle locking plate 

Notes

Funding

This work was supported by the Technology Innovation Progrma (10077279) funded by the Ministry of Trade, Industry & Energy (MOTIE, Korea).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution or practice at which the studies were conducted.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryKorea University Guro HospitalSeoulSouth Korea
  2. 2.Department of Orthopedic SurgeryYonsei University Wonju Severance Christian HospitalWonjuSouth Korea
  3. 3.Department of Orthopedic SurgeryKyungpook National University HospitalDaeguKorea
  4. 4.Denver HealthUniversity of ColoradoDenverUSA
  5. 5.Department of Orthopedic SurgeryArmed Forces Capital HospitalSeongnamSouth Korea

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