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Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study
Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of spring plates...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862384/ https://www.ncbi.nlm.nih.gov/pubmed/36675505 http://dx.doi.org/10.3390/jcm12020576 |
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author | De Mauro, Domenico Rovere, Giuseppe Are, Lorenzo Smakaj, Amarildo Aprato, Alessandro Mezzadri, Umberto Bove, Federico Casiraghi, Alessandro Marino, Silvia Ciolli, Gianluca Cerciello, Simone Maccagnano, Giuseppe Noia, Giovanni Massè, Alessandro Maccauro, Giulio Liuzza, Francesco |
author_facet | De Mauro, Domenico Rovere, Giuseppe Are, Lorenzo Smakaj, Amarildo Aprato, Alessandro Mezzadri, Umberto Bove, Federico Casiraghi, Alessandro Marino, Silvia Ciolli, Gianluca Cerciello, Simone Maccagnano, Giuseppe Noia, Giovanni Massè, Alessandro Maccauro, Giulio Liuzza, Francesco |
author_sort | De Mauro, Domenico |
collection | PubMed |
description | Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of spring plates in the treatment of comminuted posterior wall acetabular fractures. (2) Methods: A retrospective multicenter (four level I trauma centers) observational study was performed. Patients with a comminuted posterior wall acetabular fracture treated with a spring plate (DePuy Synthes, West Chester, PA) were included. Diagnosis was made according to the Judet and Letournel classification. Diagnosis was confirmed with plain radiographs in an antero-posterior view and Judet views, iliac and obturator oblique views, and thin-slice CT with multiplanar reconstructions. (3) Results: Forty-six patients (34 males and 12 females) with a mean age of 51.7 years (range 19–73) were included. The most common mechanism of injury was motor vehicle accident (34 cases). In all cases, spring plates were placed under an overlapping reconstruction plate. The mean follow-up was 33.4 months (range 24–48). The mean period without weight-bearing was 4.9 weeks (range 4–7), and full weight-bearing was allowed at an average of 8.2 weeks (range 7–11) after surgery. (4) Conclusions: According to the present data, spring plates can be considered a viable additional fixation of the posterior wall acetabular fractures. |
format | Online Article Text |
id | pubmed-9862384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98623842023-01-22 Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study De Mauro, Domenico Rovere, Giuseppe Are, Lorenzo Smakaj, Amarildo Aprato, Alessandro Mezzadri, Umberto Bove, Federico Casiraghi, Alessandro Marino, Silvia Ciolli, Gianluca Cerciello, Simone Maccagnano, Giuseppe Noia, Giovanni Massè, Alessandro Maccauro, Giulio Liuzza, Francesco J Clin Med Article Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of spring plates in the treatment of comminuted posterior wall acetabular fractures. (2) Methods: A retrospective multicenter (four level I trauma centers) observational study was performed. Patients with a comminuted posterior wall acetabular fracture treated with a spring plate (DePuy Synthes, West Chester, PA) were included. Diagnosis was made according to the Judet and Letournel classification. Diagnosis was confirmed with plain radiographs in an antero-posterior view and Judet views, iliac and obturator oblique views, and thin-slice CT with multiplanar reconstructions. (3) Results: Forty-six patients (34 males and 12 females) with a mean age of 51.7 years (range 19–73) were included. The most common mechanism of injury was motor vehicle accident (34 cases). In all cases, spring plates were placed under an overlapping reconstruction plate. The mean follow-up was 33.4 months (range 24–48). The mean period without weight-bearing was 4.9 weeks (range 4–7), and full weight-bearing was allowed at an average of 8.2 weeks (range 7–11) after surgery. (4) Conclusions: According to the present data, spring plates can be considered a viable additional fixation of the posterior wall acetabular fractures. MDPI 2023-01-11 /pmc/articles/PMC9862384/ /pubmed/36675505 http://dx.doi.org/10.3390/jcm12020576 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article De Mauro, Domenico Rovere, Giuseppe Are, Lorenzo Smakaj, Amarildo Aprato, Alessandro Mezzadri, Umberto Bove, Federico Casiraghi, Alessandro Marino, Silvia Ciolli, Gianluca Cerciello, Simone Maccagnano, Giuseppe Noia, Giovanni Massè, Alessandro Maccauro, Giulio Liuzza, Francesco Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title | Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title_full | Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title_fullStr | Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title_full_unstemmed | Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title_short | Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study |
title_sort | spring plates as a valid additional fixation in comminuted posterior wall acetabular fractures: a retrospective multicenter study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862384/ https://www.ncbi.nlm.nih.gov/pubmed/36675505 http://dx.doi.org/10.3390/jcm12020576 |
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