ArticleInternational orthopaedics2019
The pararectus approach for internal fixation of acetabular fractures involving the anterior column: evaluating the functional outcome.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Pararectus vs. lateral window approach in AO B2.2 pelvic fractures: impact on short-term functional outcomes.BMC surgery · 2025Article
- The anterior transmuscular intrapelvic approach for the treatment of acetabular fractures-a new anterior surgical strategy.BMC musculoskeletal disorders · 2023Article
- [The pararectus approach: surgical procedure for acetabular fractures].Operative Orthopadie und Traumatologie · 2023Article
- The effect of an infra-acetabular screw for anatomically shaped three-dimensional plate or standard plate designs in acetabulum fractures: a biomechanical analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Biomechanical comparison of acetabular fracture fixation with stand-alone THA or in combination with plating.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The Pararectus approach in acetabular fractures treatment: functional and radiologcial results.BMC musculoskeletal disorders · 2022Article
- Management of anterior associated types of acetabular fractures utilizing the modified Stoppa and the pararectus approaches: a prospective cohort study and early experience from a level one Egyptian trauma centre.International orthopaedics · 2022Article
- Finite element analysis of infra-acetabular screw fixation for the treatment of acetabular posterior column fracture.International orthopaedics · 2022Article
- Clinical Results of Acetabular Fracture via the Pararectus versus Ilioinguinal Approach.Orthopaedic surgery · 2021Article
- Internal fixation of anterior acetabular fractures with a limited pararectus approach and the anatomical plates: preliminary results.BMC musculoskeletal disorders · 2021Article
- Comparison of two reinforcement rings for primary total hip arthroplasty addressing displaced acetabular fractures: a biomechanical analysis.Archives of orthopaedic and trauma surgery · 2020Article
- The Pararectus Approach in Acetabular Surgery: Radiological and Clinical Outcome.Journal of orthopaedic trauma · 2020Article
- Posterolateral clamp placement on the pelvic brim provides optimal reduction of transtectal acetabular fractures fixed through the anterior intrapelvic approach.International orthopaedics · 2020Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionAim of this retrospective analysis of prospectively collected data was to evaluate the functional mid-term outcome two years after open reduction and internal fixation of acetabular fractures involving the anterior column with affection of the quadrilateral plate using the pararectus approach on a large cohort.
methodFifty-two patients (12 female, 40 male) with a median age of 55 (range 18-90) years and displaced acetabular fractures involving the anterior column were surgically treated in a single level I trauma centre between July 2012 and February 2016 using the pararectus approach. Thirty-four patients (8 female and 26 male) with a median age of 58 (range 20-85) years were available for complete clinical follow-up at regular intervals, finally 24 months post-operatively. Functional outcome was evaluated according to modified Merle d'Aubigné score, Lower Extremity Functional Scale, WOMAC, and SF-36.
resultsRange of time between trauma and surgical treatment was three (range 0-19) days. Operation time was 140 (range 60-240) minutes, and duration of hospital treatment was 19 (range 7-38) days. Functional results in 34 patients available for final follow-up demonstrated 68 points (median; range 39-80) according to the Lower Extremity Functional Scale, 6% according to the WOMAC (mean; SD ± 14.5%), and 69% (mean; SD ± 20.1%) according to the SF-36. The modified Merle d'Aubigné score was excellent in 22 patients, good in eight patients, and fair in four patients. DISCUSSION/
conclusionBased on the good to excellent functional mid-term follow-up results of this study, the pararectus approach can be recommended as sufficient alternative single access to address displaced acetabular fractures involving the anterior column, independent of patients' age.
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