Fracture Dislocation
Conditions
Keywords
acetabular, quadrilateral surface plate
Brief summary
The novel plate could be used to manage acetabular fractures involving quadrilateral surface and posterior column, which may lower the intraoperative blood loss and reduce complication rate.
Detailed description
Stoppa approach was more minimally invasive than ilioinguinal approach for pelvic and acetabular fractures. Then, Stoppa approach was widely used clinically. For the fragments involving quadrilateral surface, the Kocher-Langenbeck approach was added because the fixation of posterior fragments could not be obtained with reconstruction plate through single Stoppa approach. Novel quadrilateral surface plate was used in this study to examine its fixed role for posterior fragments. Functional outcome and complication were recorded to compare with the results treated with reconstruction plate. If good results were obtained for the patients fixed with quadrilateral surface plate, it was meaningful to popularize the fixed method.
Interventions
Both anterior and posterior approaches were always conducted to manage the fragments of quadrilateral surface. Novel quadrilateral surface plate was used in this study to examine whether the fragments could be fixed through single Stoppa approach.
Sponsors
Study design
Eligibility
Inclusion criteria
* Over 18 years old * Fracture involving quadrilateral surface * Operation was conducted within 14 days * Fixed with quadrilateral surface plate through Stoppa approach
Exclusion criteria
* Presented with a pathologic acetabular fracture * Neuropathic arthropathy,dementia and other disease processes which made postoperative compliance unreliable * Refused to participate * Follow-up insufficient 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| fracture healing time | 4 months | fracture line disappeared in the radiograph |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complication | 1 month | wound infection, iatrogenic injury of vessels and nerves, nonunion |
Countries
China