ArticleArchives of orthopaedic and trauma surgery2023
Fixation stability and implant-associated complications in periacetabular osteotomy: a comparison of screw and K-wire fixation.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Postoperative weight-bearing restrictions and rehabilitation after periacetabular osteotomy: a systematic review.Journal of orthopaedic surgery and research · 2025Pooled it
- [Complications after dynamic in-situ fixation of the femoral head in patients with slipped capital femoral epiphysis].Orthopadie (Heidelberg, Germany) · 2026Article
- Fixation of the mobile fragment in periacetabular osteotomy: a clinical study of two- vs. three-screw fixation with 4-week partial weight bearing.Archives of orthopaedic and trauma surgery · 2025Article
- Clinical and surgical factors influencing screw breakage during hardware removal following periacetabular osteotomy.Journal of hip preservation surgery · 2024Article
- Periacetabular Osteotomy with a Modified Fixation Technique Using K-Wires Shows Clinical Results Comparable to Screw Fixation at Mid-Term Follow-Up.Journal of clinical medicine · 2023Article
- The influence of lumbo-sacral transitional vertebrae in developmental dysplasia of the hip: a matched pair analysis.Scientific reports · 2023Article
- Periacetabular Osteotomy and Postoperative Pregnancy-Is There an Influence on the Mode of Birth?Journal of clinical medicine · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to compare the fixation stability and complications in patients undergoing periacetabular osteotomy (PAO) with either K-wire or screw fixation. PATIENTS AND
methodsWe performed a retrospective study to analyze a consecutive series of patients who underwent PAO with either screw or K-wire fixation. Patients who were treated for acetabular retroversion or had previous surgery on the ipsilateral hip joint were excluded. 172 patients (191 hips: 99 K-wire/92 screw fixation) were included. The mean age at the time of PAO was 29.3 years (16-48) in the K-wire group and 27.3 (15-45) in the screw group and 83.9% were female. Clinical parameters including duration of surgery, minor complications (soft tissue irritation and implant migration) and major complications (implant failure and non-union) were evaluated. Radiological parameters including LCE, TA and FHEI were measured preoperatively, postoperatively and at 3-months follow-up.
resultsDuration of surgery was significantly reduced in the K-wire group with 88.2 min (53-202) compared to the screw group with 119.7 min (50-261) (p < 0.001). Soft tissue irritation occurred significantly more often in the K-wire group (72/99) than in the screw group (36/92) (p < 0.001). No group showed significantly more implant migration than the other. No major complications were observed in either group. Postoperative LCE, TA and FHEI were improved significantly in both groups for all parameters (p = < 0.0001). There was no significant difference for initial or final correction for the respective parameters between the two groups. Furthermore, no significant difference in loss of correction was observed between the two groups for the respective parameters.
conclusionK-wire fixation is a viable and safe option for fragment fixation in PAO with similar stability and complication rates as screw fixation. An advantage of the method is the significantly reduced operative time. A disadvantage is the significantly higher rate of implant-associated soft tissue irritation, necessitating implant removal. LEVEL OF EVIDENCE: III, retrospective trial.
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