Application of a novel acetabulum anatomic locking plate in treatment of anterior wall and anterior column acetabular fractures
10.3760/cma.j.issn.1001-8050.2018.03.005
- VernacularTitle:新型解剖锁定钢板在髋臼前壁骨折合并前柱骨折中的应用
- Author:
Zhenfei HUANG
1
,
2
;
Kaifang CHEN
;
Lingjia YU
;
Tingfang SUN
;
Zekang XIONG
;
Xiaodong GUO
Author Information
1. 430022武汉,华中科技大学同济医学院附属协和医院骨科
2. 北京协和医院骨科
- Keywords:
Acetabulum;
Hip injuries;
Fracture fixation,internal
- From:
Chinese Journal of Trauma
2018;34(3):214-219
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of a novel acetabulum anatomic locking plate in the treatment of anterior wall and anterior column acetabular fracture.Methods A retrospective case series study was performed in five patients with anterior wall and anterior column acetabular fractures managed operatively using a novel acetabulum anatomic locking plate from March 2014 to January 2016.There were four males and one female,with an average age of 41.1 years (range,25-65 years).The mean time from injury to operation was 3.2 days (range,2-5 days).All patients were managed operatively using the superior ilioinguinal approach.Operation duration,intraoperative blood loss,blood transfusion,and bony union time were recorded.The image results by Matta standard were evaluated and the acetabular function after operation was assessed by modified Merle d'Aubigné-Postel.Postoperative complications were recorded.Results All patients were followed up for average 15.3 months (range,12-24 months).The average operation duration was 96 minutes (range,60-130 minutes) and average blood loss was 230 ml (range,100-800 ml).Autologous blood transfusion was selectively used except for one patient with allogeneic blood transfusion of 400 ml.The mean time of bony union was 2.9 months (range,2-5 months).According to the Matta criteria,four patients attained anatomical reduction,and unsatisfactory reduction was reported in one patient.Clinical outcomes (Merled'Aubigné-Postel) at 12 months were 100％ excellent with the average score of 17.1 (range,15-18).One patient had a lateral cutaneous nerve palsy,and symptom relief was seen after a follow up of 6 months.After operation,no complications such as surgical site infection,femoral head avascular necrosis,andtraumatic arthritis occurred in any patient.Conclusion The novel acetabulum anatomic locking platecan provide rigid and firm fixation for both anterior wall and anterior acetabular fractures using one singleplate,and the fracture reduction and function recovery are satisfactory.
