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Short-term follow-up of anterior and posterior both column fractures of acetabulum managed through both column plating

  • Original Article • PELVIS - FRACTURES
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Objective

To evaluate the results of short-term follow-up of patients of both column acetabular fractures managed through anterior and posterior column plating.

Introduction

Both column acetabular fractures are challenging articular injuries. Majority of them are treated operatively. The concept of “secondary congruence” was introduced by Letournel. Despite this, biomechanical data on secondary congruence indicate that nonoperative treatment leads to an increase in peak pressures in the supraacetabular region with the potential risk of developing posttraumatic degenerative osteoarthritis. Operative management is therefore justified.

Methodology

A cohort of 10 patients having both column (anterior and posterior) acetabular fractures managed using bicolumnar plating between January 2016 and December 2017 were enrolled in the study and were analyzed during follow-up period.

Results

In total, 80% of the patients had excellent to good result. Average postoperative score was 85.7. Assessment was done using modified Harris Hip score.

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References

  1. Eichenholtz SN, Stark RM (1964) Central acetabular fractures. J Bone Jt Surg Am 46A:4

    Google Scholar 

  2. Kleinberg S (1923) Fracture of acetabulum with central luxation of the hip. Ann Surg 78(6):806–813

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Rogers LF, Novy SB, Harris NF (1975) Occult central fractures of the acetabulum. J Bone Jt Surg Am 124:1

    Google Scholar 

  4. Canale ST (2012) Campbells operative orthopaedics, vol 3, 12th edn. Elsevier, Amsterdam, pp 2741–2796

    Google Scholar 

  5. Bucholez RW, Hechman JD, Brown CMC (2012) Rockwood and Green’s fractures in adults, 7th edn. Lippincot Williams and Wilkins Co., Philadelphia

    Google Scholar 

  6. Beaule PE, Dorey FJ, Matta JM (2003) Letournal classification of acetabular fractures. J Bone Jt Surg Am 85A:9

    Google Scholar 

  7. Laird A, Keating JF (2005) Acetabular fractures: a 16 year prospective epidemiological study. J Bone Jt Surg Br 87:969–973

    Article  CAS  Google Scholar 

  8. Muller ME et al (1992) Manual of internal fixation. Springer, Berlin

    Book  Google Scholar 

  9. Murphy D, Kaliszer M, Rice J, Mc Elwain P (2003) Outcome after acetabular fractures: prognostic factors and their inter relationships. Int J Inj 34(7):512–517

    Article  CAS  Google Scholar 

  10. Rickman M, Young J, Bircher M, Pearce R, Hamilton M (2012) The management of complex acetabular fractures in elderly with fracture fixation and primary total hip replacement. Eur J Trauma Emerg Surg. https://doi.org/10.1007/s00068-012-0213-9

    Article  PubMed  Google Scholar 

  11. Nilsdotter A, Bremander A (2011) Measures of hip function and symptoms. Arthritis Care Res 63(S11):S200–S207

    Article  Google Scholar 

  12. Matta JM, Mehne DK, Roffi R (1986) Fractures of acetabulum: early results of prospective study. Clin Orthop Relat Res 205:241–250

    Google Scholar 

  13. Bray TJ, Esser M, Fulkerson L (1987) Osteotomy of the trochanter in open reduction and internal fixation of acetabular fractures. J Bone Jt Surg 69(5):711–717

    Article  CAS  Google Scholar 

  14. Im GI, Chung WS (2003) Fractures of posterior wall of acetabulum: treatment with cannulated screws. Int J Inj 10:031

    Google Scholar 

  15. Lawrence DA, Men K, Baumgertner M, Hamis AH (2013) Acetabular fractures: anatomic and clinical considerations. AJR 201:W425–W436

    Article  PubMed  Google Scholar 

  16. Matta J (1996) Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Jt Surg Am 78A:1632–1645

    Article  Google Scholar 

  17. Manson T, Schmidt A (2006) Acetabular fractures in elderly. J Bone Jt Surg 4(10):e1

    Google Scholar 

  18. Pesantez R, Ziran BH (2007) Anatomy of pelvis: fractures of pelvis and acetabulum, 1st edn. Informa Healthcare, New York

    Google Scholar 

  19. Pierannunzii L, Fisher F, Tagliabue L (2010) Acetabular both column fractures: essentials of operative management. Int J Care Inj 41:1145–1149

    Article  Google Scholar 

  20. Stewart MJ (1961) Discussion of prognosis of fractures of acetabulum. J Bone Jt Surg Am 43A:59

    Google Scholar 

  21. Moed B, McMicheal JC (2007) Outcome of posterior wall fractures of acetabulum. J Bone Jt Surg 89-A:6

    Google Scholar 

  22. Rommens PM, Wagner D, Hoffman A (2012) Surgical management of osteoporotic pelvic fractures: a new challenge. Eur J Trauma Emerg Surg. https://doi.org/10.1007/s00068-012-0224-8

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lehmann W, Hoffman M, Briem D, Grossterlinden L, Peterson JP, Priemel M, Pogoda P (2012) Management of traumatic spinopelvic dissociations: review of the literature. Eur J Trauma Emerg Surg. https://doi.org/10.1007/s00068-012-0225-7

    Article  PubMed  Google Scholar 

  24. Olson SA (2007) Diagnosis and treatment of acetabular fractures: historic review, 1st edn. Informa Healthcare, New York

    Google Scholar 

  25. Bircher M (2011) A history of pelvic and acetabular fractures

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Author information

Authors and Affiliations

  1. Baroda Medical College and SSG Hospital Vadodara, Vadodara, Gujarat, India

    Sachin Sharma, Kishan Zinzuwadia & Tanmay Jaysingani

  2. Bhiwadi, Alwar, India

    Sachin Sharma

  3. Department of Orthopedics, Baroda Medical College and SSG Hospital Vadodara, Vadodara, Gujarat, India

    Hemant Mathur

Authors
  1. Sachin Sharma
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  2. Hemant Mathur
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  3. Kishan Zinzuwadia
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  4. Tanmay Jaysingani
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Corresponding author

Correspondence to Sachin Sharma.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical standards

The study has been approved by Ethical Committee of Baroda Medical College and SSG Hospital Vadodara Gujarat, India.

Informed consent

Informed consent was obtained from all the patients while conducting the study.

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Sharma, S., Mathur, H., Zinzuwadia, K. et al. Short-term follow-up of anterior and posterior both column fractures of acetabulum managed through both column plating. Eur J Orthop Surg Traumatol 29, 605–610 (2019). https://doi.org/10.1007/s00590-018-2331-7

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  • DOI: https://doi.org/10.1007/s00590-018-2331-7

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