ArticleInternational orthopaedics2026
Reconstruction of comminuted posterior acetabular wall fractures using the outer table of the anterior iliac tubercle: anatomical matching and a clinical pilot study.
Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate the anatomical conformity between the radius of curvature (ROC) of the anterior iliac tubercle's outer table and the posterior acetabular wall via CT, and to assess the clinical feasibility of this autograft for reconstruction.
methodsPelvic CT scans of 52 patients were analyzed to measure the bilateral ROC of the anterior iliac tubercle and the posterior acetabular wall. A clinical pilot study was also conducted to evaluate the clinical outcomes of four patients with comminuted posterior wall fractures treated with this autologous bone graft.
resultsEquivalence testing confirmed that the ROC of the anterior iliac tubercle and the posterior acetabular wall were clinically equivalent within a 3 mm margin. All four patients achieved a tight intraoperative graft fit and successful bony union; however, satisfactory functional recovery (Excellent or Good) was observed in three cases.
conclusionWithin a 3 mm margin, the outer table of the anterior iliac tubercle matches the posterior acetabular wall, serving as a viable anatomical autograft for reconstructing comminuted posterior wall fractures.
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