ArticleMedical science monitor : international medical journal of experimental and clinical research2017
Treatment of Transverse with or without Posterior Wall Fractures of Acetabulum Using a Modified Smith-Petersen Combined with Kocher-Langenbeck Approach.
Article in Medical science monitor : international medical journal of experimental and clinical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 10 citations in OpenAlex.
- Adequacy of single approach fixation in transverse-posterior wall fractures of the acetabulum: A case series of 55 patients with mid-term outcomes.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Evaluation of surgical approach on reduction quality for transverse-family acetabulum fractures.Journal of orthopaedic surgery and research · 2025Article
- Implant utilization for posterior wall fractures of the pelvis: a narrative review.Journal of clinical orthopaedics and trauma · 2025Review
- The Kocher-Langenbeck approach combined with TiRobot-assisted percutaneous anterior column screw fixation for transverse with or without posterior wall fractures of acetabulum: a retrospective study.International orthopaedics · 2025Article
- Integrative surgical approach for complex transverse-posterior wall fractures of the acetabulum: A case series of 21 patients evaluating mid-term outcomes.Journal of clinical orthopaedics and trauma · 2025Article
- Outcomes of acetabular fractures.Archives of orthopaedic and trauma surgery · 2024Review
- A Novel Anatomical Locking Guide Plate for Treating Acetabular Transverse Posterior Wall Fracture: A Finite Element Analysis Study.Orthopaedic surgery · 2022Article
- The Kocher-Langenbeck approach combined with robot-aided percutaneous anterior column screw fixation for transverse-oriented acetabular fractures: a retrospective study.BMC musculoskeletal disorders · 2022Article
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5 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND The aim of this study was to explore the surgical treatment of transverse with or without posterior wall fractures of the acetabulum. MATERIAL AND METHODS We surgically treated 21 consecutive cases of pure transverse (7 cases) and with posterior wall (14 cases) fractures of the acetabulum. The anterior column fractures were firstly reduced, temporarily fixed through a modified Smith-Petersen small incision, and finally fixed after the fixation of the posterior column and wall fractures, which were reduced and fixed through a Kocher-Langenbeck approach. The operative time, intra-operative blood loss, quality of reduction (Matta criteria), perioperative complications, osseous union, subsequent complications, and hip function evaluation were recorded. RESULTS The mean operative time was 198.1 min and the mean intra-operative blood loss was 938.1 ml. Anatomic reduction of the anterior column was obtained in 20 cases and was imperfect in 1 case. All posterior column and wall fractures were anatomically reduced. We followed up 18 cases for a mean duration of 16.3 (8-30) months. All the fractures achieved osseous union. The mean Harris score was 85.1 points, with an excellent result in 7 cases, good in 8, fair in 2, and poor in 1. According to modified Merle d' Aubigne and Postel score system, the results were excellent in 2 cases, good in 15, and poor in 1. Avascular necrosis of the femoral head occurred in 1 case, heterotopic ossification in 3 cases, and numbness of the anterolateral thigh in 6 cases. CONCLUSIONS For transverse with or without posterior wall fractures of the acetabulum, reduction and fixation of anterior and posterior column should be done in sequence, and a modified Smith-Petersen small incision might be a good choice in reduction and fixation of the anterior column because it possesses advantages of direct visualization and minimal invasion.
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