Royal orthopaedic Hospital, Birmingham, United Kingdom.
Cairo University Hospitals, Cairo, Egypt; and.
J Orthop Trauma. 2022 Sep 1;36(9):439-444. doi: 10.1097/BOT.0000000000002369.
To evaluate the results of a new plate system using anterior approaches in the management of acetabular fractures.
Retrospective case-note review.
Pelvic and acetabular tertiary center.
A consecutive series of acetabular fractures treated using only anterior approach and anatomical plates, at one tertiary specialist unit, were reviewed. The fracture patterns, incisions used, intraoperative and postoperative complications, reduction achieved (measured on postoperative radiographs and computed tomography scans), and early postoperative results (minimum 1-year follow-up) were recorded.
Postoperative reduction (measured by postoperative plain radiographs and computed tomography).
Thirty-three patients (mean age, 57 years) underwent reconstruction with the anatomical plates using anterior approaches. Associated both columns and anterior column posterior hemitransverse represented most of the patients (85%). The fracture pattern was complex with quadrilateral plate involvement in 79% of cases. Overall, anatomic reduction was seen in 82% on plain radiographs and CT scan evaluation. Increasing age was a statistically significant variable in obtaining anatomical reduction with an age cutoff value of 70 years ( P 0.012). Associated both column fractures were associated with a lower incidence of anatomical reduction ( P = 0.038). Complication rates were comparable with the literature. 22 patients (71%) were symptom free, with 20 patients (62.5%) having excellent radiographic outcomes at the latest follow-up.
The results suggested that using approach-specific instruments and anatomical plates through anterior approaches in a specialized unit led to anatomical reconstruction in 82% with patients demonstrating satisfactory early radiological and functional outcomes at 1 year.
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
评估一种新型钢板系统在前入路治疗髋臼骨折中的应用效果。
回顾性病历回顾。
骨盆和髋臼三级中心。
在一个三级专科中心，对仅采用前入路和解剖钢板治疗的连续系列髋臼骨折患者进行了回顾性研究。记录了骨折类型、切口、术中及术后并发症、复位效果（术后 X 线和 CT 扫描测量）以及早期术后结果（至少 1 年随访）。
术后复位（术后 X 线和 CT 测量）。
33 例患者（平均年龄 57 岁）采用前入路解剖钢板进行重建。大多数患者（85%）为双柱骨折和前柱后横行骨折。骨折类型复杂，四方形钢板受累占 79%。总体上，82%的患者在 X 线和 CT 扫描评估中达到解剖复位。年龄是影响解剖复位的一个统计学上显著的变量，截断值为 70 岁（P=0.012）。双柱骨折与解剖复位发生率较低相关（P=0.038）。并发症发生率与文献报道相似。22 例（71%）患者无症状，20 例（62.5%）患者在末次随访时影像学结果良好。
结果表明，在专门的单位使用特定入路的器械和解剖钢板进行前入路治疗，82%的患者达到解剖重建，患者在 1 年时表现出满意的早期影像学和功能结果。
治疗性 1 级。
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