2013
DOI: 10.3928/01477447-20130624-12
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Posterior Acetabular Column and Quadrilateral Plate Fractures: Fixation With Tension Band Principles

Abstract: Acetabular fractures can be classified into 5 simple and 5 associated fracture patterns. A significant amount of variation and complexity exists in these fractures patterns. Fractures of the posterior wall are the most common acetabular fractures. Comminution of the quadrilateral plate adds to fracture instability, and more rigid and stable internal fixation is mandatory. The goal of this study was to assess the results of reconstruction of comminuted posterior wall fractures of the acetabulum associated with … Show more

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Cited by 16 publications
(8 citation statements)
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“…The swollen top of the plate also has a gathering effect on comminuted fractures that enhance the lateral wall structure in the greater trochanter 12 . However, as an extramedullary fixation device, the PFLP should follow the tension band principles, which requires the integrity of the support structure at the posterior inner-side trochanter 13 . Reduced fixation or delayed weight bearing on the fracture must occur for dislocated lesser trochanters; otherwise, complications, including screw breakage and coxa vara, are more likely to occur 14 .…”
Section: Introductionmentioning
confidence: 99%
“…The swollen top of the plate also has a gathering effect on comminuted fractures that enhance the lateral wall structure in the greater trochanter 12 . However, as an extramedullary fixation device, the PFLP should follow the tension band principles, which requires the integrity of the support structure at the posterior inner-side trochanter 13 . Reduced fixation or delayed weight bearing on the fracture must occur for dislocated lesser trochanters; otherwise, complications, including screw breakage and coxa vara, are more likely to occur 14 .…”
Section: Introductionmentioning
confidence: 99%
“…The internal fixation devices have screws, plates, and steel wires, among which plates are the most commonly used and the biomechanical stability is relatively good. Although various new internal fixation devices have emerged in endlessly, the long-term efficacy needs to be further evaluated [1922].…”
Section: Discussionmentioning
confidence: 99%
“… 7 8 9 10 Special tools are needed to facilitate reduction and temporal fixation during the surgical treatment for associated acetabular fractures; these tools, which are currently being used, are still being refined. 11 12 13 14 15 16 17 18 19 A bone hook is the simplest tool and is used frequently; however, it also possesses obvious disadvantages. First, maintaining consistent pulling of the bone hook requires a strong assistant who will not tire easily.…”
Section: Discussionmentioning
confidence: 99%