The use of cervical vertebrae plates for cortical substitution in posterior wall acetabular fractures.

作者: Joseph M Schwab , John Zebrack , Gregory J Schmeling , Jennifer Johnson

DOI: 10.1097/BOT.0B013E3181F8D34C

关键词: Fixation (surgical)MedicineOrthodonticsCervical vertebraePosterior wallCost comparisonOperative fixation

摘要: We report a new technique for operative fixation of posterior wall acetabular fractures that require cortical substitution. This uses cervical vertebrae plates are H-shaped as an alternative to the combination standard locking or nonlocking pelvic reconstruction and substitution plates, ie, spring plates. believe this provides more robust structural support with plate acting substitute in comminuted fracture patterns. Compared almost twice wide. Additionally, configuration allows screws per unit length compared potentially providing points fixation. Finally, cost comparison two shows be less expensive than Our series 23 consecutive patients outcomes similar published literature initial results show no early hardware failure.

参考文章(9)
BERTON R. MOED, SEANN E. WILLSON CARR, KONRAD I. GRUSON, J. TRACY WATSON, JOSEPH G. CRAIG, Computed Tomographic Assessment of Fractures of the Posterior Wall of the Acetabulum After Operative Treatment Journal of Bone and Joint Surgery, American Volume. ,vol. 85, pp. 512- 522 ,(2003) , 10.2106/00004623-200303000-00018
Berton R. Moed, Seann E. Willson Carr, J. Tracy Watson, Open reduction and internal fixation of posterior wall fractures of the acetabulum. Clinical Orthopaedics and Related Research. ,vol. 377, pp. 57- 67 ,(2000) , 10.1097/00003086-200008000-00009
BERTON R. MOED, SEANN E. WILLSON CARR, J. TRACY WATSON, Results of operative treatment of fractures of the posterior wall of the acetabulum. Journal of Bone and Joint Surgery, American Volume. ,vol. 84, pp. 752- 758 ,(2002) , 10.2106/00004623-200205000-00008
P. Tornetta, Non-operative management of acetabular fractures Journal of Bone and Joint Surgery-british Volume. pp. 67- 70 ,(1999) , 10.1302/0301-620X.81B1.0810067
Michael R. Baumgaertner, Fractures of the Posterior Wall of the Acetabulum Journal of The American Academy of Orthopaedic Surgeons. ,vol. 7, pp. 54- 65 ,(1999) , 10.5435/00124635-199901000-00006
ANDREW F. BROOKER, JACK W. BOWERMAN, ROBERT A. ROBINSON, LEE H. RILEY, Ectopic ossification following total hip replacement. Incidence and a method of classification. Journal of Bone and Joint Surgery, American Volume. ,vol. 55, pp. 1629- 1632 ,(1973) , 10.2106/00004623-197355080-00006
P. Tornetta, Non-operative management of acetabular fractures: THE USE OF DYNAMIC STRESS VIEWS Journal of Bone and Joint Surgery-british Volume. ,vol. 81, pp. 67- 70 ,(1999) , 10.1302/0301-620X.81B1.8805