Surgical treatment of displaced fractures of posterior column and posterior wall of the acetabulum

Yu, Jung Kuang; Chiu, Fang-Yao; Feng, Chi-Kuan; Chung, Tien-Yow; Chen, Tien-Hsiung

doi:10.1016/j.injury.2003.09.036

Cited by 12 publications

(5 citation statements)

References 12 publications

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“…Because of the reports in the literature, 14 -26 the Brooker grades show somewhat better radiographic outcomes than our series. 16,26 Yu et al 25 reported 91% anatomic reduction according to Matta, whereas we achieved 64%, which was higher than the 50% overall rate given by Mayr et al 18 When only isolated posterior wall fractures are reported results are better, such as the 97% anatomic reduction obtained by Rommens. 26 In our series, except for the time from injury to surgery (p ϭ 0.003), the lateral and prone group were comparable with regard to age, AO fracture classification, length of surgery, estimated blood loss, incidence of extensive blood loss, and follow-up period.…”

Section: Discussioncontrasting

confidence: 52%

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Prone or Lateral? Use of the Kocher-Langenbeck Approach to Treat Acetabular Fractures

Negrin

Benson

Seligson

2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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No advantage to either position for the posterior approach to acetabular fractures could be found. Because most of the severe fractures were performed prone, we propose that the larger number of more difficult fractures in this group may cause an increased likelihood of loss of reduction. The higher infection rate in the prone group may be caused by the longer inpatient wait for definitive fixation, leading to a higher risk of nosocomial colonization.

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Section: Discussioncontrasting

confidence: 52%

“…Current literature reports 0% 25 to 6% 17,20 infection incidence for all patients undergoing this procedure and 6% 19 to 17% 23 infection for patients in the lateral position and with 7% at maximum 16 in the prone position. Revision surgery has been necessary in 13%, 17 regardless of patients' positioning compared with 6% in our study.…”

Section: Discussionmentioning

confidence: 92%

Prone or Lateral? Use of the Kocher-Langenbeck Approach to Treat Acetabular Fractures

Negrin

Benson

Seligson

2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…The primary approach for complex pelvic fracture was to achieve a bony union through fracture reduction while maintaining the original fracture components as well as preserving bone stock for future reconstruction, if necessary [ 5 ]. The treatment principle for pelvic fractures, including pelvic ring fractures, should be based on anatomic reduction and easy rigid fixation [ 21 , 22 ]. The complex pelvic fractures can be treated through open reduction and internal fixation, which often consists of reconstructing plates and lag or interfracture screws.…”

Section: Methodsmentioning

confidence: 99%

The Influence of Pelvic Ramus Fracture on the Stability of Fixed Pelvic Complex Fracture

Lei

Zhang

et al. 2015

Computational and Mathematical Methods in Medicine

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This study aims to evaluate the biomechanical mechanism of pelvic ring injury for the stability of pelvis using the finite element (FE) method. Complex pelvic fracture (i.e., anterior column with posterior hemitransverse lesion) combined with pelvic ramus fracture was used to evaluate the biomechanics stability of the pelvis. Three FE fracture models (i.e., Dynamic Anterior Plate-Screw System for Quadrilateral Area (DAPSQ) for complex pelvic fracture with intact pubic ramus, DAPSQ for complex pelvic fracture with pubic ramus fracture, and DAPSQ for complex pelvic fracture with fixed pubic ramus fracture) were established to explore the biomechanics stability of the pelvis. The pubic ramus fracture leads to an unsymmetrical situation and an unstable situation of the pelvis. The fixed pubic ramus fracture did well in reducing the stress levels of the pelvic bone and fixation system, as well as displacement difference in the pubic symphysis, and it could change the unstable situation back to a certain extent. The pelvic ring integrity was the prerequisite of the pelvic stability and should be in a stable condition when the complex fracture is treated.

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“…36 Pelvic fractures which are treated through a posterior approach are also subject to high rates of HO. 37 It is possible that systemic factors play a role in these situations, possibly related to genetic predisposition based on human leukocyte antigens. 38,39 Susceptible patients may express or release factors which can initiate the formation of new bone at these sites.…”

Section: Fig 3bmentioning

confidence: 99%

Heterotopic ossification after the use of commercially available recombinant human bone morphogenetic proteins in four patients

Axelrad

Steen

Lowenberg

et al. 2008

The Journal of Bone and Joint Surgery. British volume

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Heterotopic ossification occurring after the use of commercially available bone morphogenetic proteins has not been widely reported. We describe four cases of heterotopic ossification in patients treated with either recombinant bone morphogenetic protein 2 or recombinant bone morphogenetic protein 7. We found that while some patients were asymptomatic, heterotopic ossification which had occurred around a joint often required operative excision with good results.

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Surgical treatment of displaced fractures of posterior column and posterior wall of the acetabulum

Cited by 12 publications

References 12 publications

Prone or Lateral? Use of the Kocher-Langenbeck Approach to Treat Acetabular Fractures

Prone or Lateral? Use of the Kocher-Langenbeck Approach to Treat Acetabular Fractures

The Influence of Pelvic Ramus Fracture on the Stability of Fixed Pelvic Complex Fracture

Heterotopic ossification after the use of commercially available recombinant human bone morphogenetic proteins in four patients

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