ArticleJournal of orthopaedic trauma2020
The Pararectus Approach in Acetabular Surgery: Radiological and Clinical Outcome.
Article in Journal of orthopaedic trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Developing a core outcome set for acetabular fractures: a systematic review (part I).Systematic reviews · 2025Pooled it
- A systemic review and meta-analysis of pararectus versus ilioinguinal approach for the management of acetabular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Evaluation of joint awareness after acetabular fracture: Validation of the Forgotten Joint Score according to the COSMIN checklist protocol.World journal of orthopedics · 2021Trial
- The pararectus approach in acetabular fracture fixation: evidence of reproducibility and learnability.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Comparative analysis of surgical approaches in acetabular fractures: Blood loss and procedural efficiency.Journal of orthopaedics · 2025Article
- Anterior extrapelvic approaches to the acetabulum.Archives of orthopaedic and trauma surgery · 2024Article
- [Possibilities and limits of intraoperative 2D imaging in trauma surgery].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Treatment of Anterior Dislocation of the Sacroiliac Joint via the Lateral-rectus Approach: Surgical Techniques and Preliminary Outcomes.Orthopaedic surgery · 2023Article
- The anterior transmuscular intrapelvic approach for the treatment of acetabular fractures-a new anterior surgical strategy.BMC musculoskeletal disorders · 2023Article
- Exploration of the Extraperitoneal Approach for Single-Level Anterior Lumbar Interbody Fusion: Imaging, Anatomical and Clinical Research.Indian journal of orthopaedics · 2023Article
- A new modified pararectus approach and visualization: an anatomical study.Archives of orthopaedic and trauma surgery · 2023Article
- [The pararectus approach: surgical procedure for acetabular fractures].Operative Orthopadie und Traumatologie · 2023Article
- [Techniques and results of primary hip arthroplasty in geriatric acetabular fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Treatment of Delayed Acetabular Fractures by Periacetabular Osteotomy through the Lateral-Rectus Approach.Orthopaedic surgery · 2022Article
- The Pararectus approach in acetabular fractures treatment: functional and radiologcial results.BMC musculoskeletal disorders · 2022Article
- Early biomechanical outcome in patients with acetabular fractures treated using the pararectus approach: a gait and stair climb analysis study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Bilateral acetabular fracture secondary to high-velocity trauma: A rare case report.Joint diseases and related surgery · 2022Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate radiological fracture reduction and clinical results using the pararectus approach in complex acetabular fractures involving the anterior column.
designRetrospective database analysis of prospectively collected data.
settingLevel 1 trauma center. PATIENTS/
participants61 patients (48 male and 13 female) with a median age of 55 (range 17-91) years were included. According to the chosen surgical approach, they were divided into 2 groups. The P-group included 43 patients, among them 32 male and 11 female patients with a median age of 55 (range 17-90) years. Eighteen patients [16 male, 2 female; median age: 53 (range 23-91) years] were treated through the ilioinguinal approach (I-group).
interventionAnterior surgical procedures through the pararectus or the ilioinguinal approach. MAIN OUTCOME MEASURED: Reduction results were rated according to the modified Matta criteria using a measurement protocol of hip joint gaps and steps in computed tomography scans. Operation time, complications, and clinical outcomes median one year postoperatively were compared.
resultsIn the pararectus group reduction was anatomical in 21 out of 40 analyzed patients (52.5%), imperfect in 11 patients (27.5%), and poor in 8 patients (20%). The mean joint step reduction was 3.7 mm, and the mean joint gap reduction was 12.1 mm. In the ilioinguinal group reduction was anatomical in 9 out of 18 patients (50%), imperfect in 4 patients (22%), and poor in 5 patients (28%). The mean joint step reduction was 1 mm, and the mean joint gap reduction was 7 mm. Operation time was significantly shorter in the P-group (mean: 49 minutes; P < 0.001).
conclusionsThis study indicates that acetabular fracture reduction using the pararectus approach is at least comparable with the ilioinguinal approach independent of patients' age. A relevant advantage of the pararectus approach was seen in a significantly shorter operation time. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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