Cerclage wiring in displaced both-column fractures of the acetabulum

Chen, Chuan-Mu; Chiu, Fang-Yao; Lo, Wai‐Hee; Chung, Tien-Yow

doi:10.1016/s0020-1383(00)00243-6

Cited by 28 publications

(22 citation statements)

References 10 publications

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“…2,6,11,17,25,[30][31][32][33][34][35][36][37][38][39][40] They report on 353 acetabular fractures of which 213 were treated non-operatively (Table 1) and 140 treated operatively (Table 2). Various radiographic scoring techniques have been used to describe the quality of reduction 18,[41][42][43][44][45] and osteoarthritic changes.…”

Section: Resultsmentioning

confidence: 99%

“…3) or cables is another alternative, reported to offer excellent reduction of the quadrilateral plate. 6,40 This is a less invasive technique that offers controlled indirect reduction whilst tightening the wire, extra osseous fixation eliminating the risk of joint penetration, avoiding the risk of screw cut out in osteoporotic bone and the offering the ability to address comminution. 6,15,60 Additional plates and screws are often required to provide stable fixation in cases of extensive comminution.…”

Section: Discussionmentioning

confidence: 99%

“…6,15,60 Additional plates and screws are often required to provide stable fixation in cases of extensive comminution. 6,40,60 Certain radiological features are predictive of a poor outcome following fixation, including osteoporosis and the 'Gull sign' indicating a superomedial dome impaction. Together with parameters as clear evidence of pre-existing osteoarthritis, associated femoral head and neck fracture, intra-articular comminution, full thickness abrasive loss of the articular cartilage, more than 40% impaction of the femoral head and acetabulum, extensive osteoporosis and advanced age may be relative indications for acute THA.…”

Section: Discussionmentioning

confidence: 99%

“…These refer to 140 different cases as reported in 12 studies 6,11,17,25,31,[34][35][36][37][38][39][40] published between the years 1956 and 2012 (Table 2).…”

Section: Operative Treatmentmentioning

confidence: 99%

“…10,15,40,60,61 In 2001 Chen et al 40 reported the outcomes of cerclage wiring combined with reconstruction plates and screws. In thirty-five both column fractures a triradiate approach with trochanteric osteotomy was used and the displaced quadrilateral plate was reduced and fixed with 1.6 mm cerclage wires.…”

Section: Cerclage Wiring and Cablesmentioning

confidence: 99%

See 4 more Smart Citations

Quadrilateral plate fractures of the acetabulum: An update

White

Kanakaris

Faour

et al. 2013

Injury

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…These refer to 140 different cases as reported in 12 studies 6,11,17,25,31,[34][35][36][37][38][39][40] published between the years 1956 and 2012 (Table 2).…”

Section: Operative Treatmentmentioning

confidence: 99%

Section: Cerclage Wiring and Cablesmentioning

confidence: 99%

See 3 more Smart Citations

Quadrilateral plate fractures of the acetabulum: An update

White

Kanakaris

Faour

et al. 2013

Injury

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Die Behandlung von Acetabulumfrakturen bei geriatrischen Patienten mittels modifizierter Kabelcerclage und prim�rer H�fttotalprothese

et al. 2004

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This prospective study addresses early results of the treatment of acute acetabular fractures in elderly patients by total hip arthroplasty and cerclage wiring. Fifteen patients with an average age of 81 years were treated at our institution between February 1998 and December 2000. There were two transverse fractures, eight T-shaped fractures, two transverse fractures with associated posterior wall fracture, two posterior column fractures with associated posterior wall fracture, and one fracture of both columns. Treatment consisted of cerclage wiring of the fracture and primary non-cemented total hip replacement. All of the patients were followed for a mean of 36 months. Although there was one patient with three hip dislocations during the first 10 months after the operation, we found an excellent or good result for the entire group. During this relatively short follow-up period, we have not found a radiological loss of fracture reduction of more than 1 mm or a cup migration of more than 3.2 mm. All of the fractures healed and no loosening of the implant was evident. Primary total hip arthroplasty combined with internal fixation is a valid treatment option for acetabular fractures in the elderly. Preliminary results are convincing, but a bigger patient population and a longer follow-up time are necessary before we are able to draw final conclusions.

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