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Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

The purposes of the study were to introduce surgical technique of fragment-specific fixation technique using multiple 2.7-mm variable-angle locking compression plates (VA LCPs) in comminuted posterior wall acetabular fractures and reported its clinical results.

Patients and methods

Among the 68 patients, 23 with comminuted posterior wall factures with ≥ 3 fragments in the CT scan and no column involvement with a minimum follow-up duration of 12 months were enrolled in this study. We evaluated the clinical results after the treatment of comminuted posterior wall acetabular fractures via the fragment-specific fixation technique using 2.7-mm variable-angle locking compression plates (VA LCPs) retrospectively.

Results

The average duration of follow-up was 26.8 months. Anatomical reduction was achieved in eighteen patients. Imperfect reduction was achieved in five patients. 22 patients achieved fracture union and one patient underwent revision surgery owing to acute postoperative infection. There were no complications, including loss of reduction, fixative failures, sciatic nerve palsy, heterotopic ossification, and early posttraumatic arthritis among 22 patients. The average functional outcome was measured as ‘very good’.

Conclusion

Fragment-specific fixation technique using 2.7-mm VA LCPs for comminuted posterior wall acetabular fractures could be an acceptable alternative means of surgical fixation.

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Funding

This work was supported by the Technology Innovation Progrma (10077279) funded by the Ministry of Trade, Industry & Energy (MOTIE, Korea).

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, South Korea

    Jae-Woo Cho, Beom-Soo Kim, Do-Hyun Yeo, Jong-Hyeop Song & Jong-Keon Oh

  2. Department of Orthopedic Surgery, Yonsei University Wonju Severance Christian Hospital, Wonju, South Korea

    Hoe Jeong Chung

  3. Department of Orthopedic Surgery, Kyungpook National University Hospital, Daegu, Korea

    Chang-Wug Oh

  4. Denver Health, University of Colorado, Denver, USA

    Cyril Mauffrey

  5. Department of Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam, South Korea

    Won-Tae Cho

Authors
  1. Jae-Woo Cho
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  2. Hoe Jeong Chung
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  8. Won-Tae Cho
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Corresponding authors

Correspondence to Won-Tae Cho or Jong-Keon Oh.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution or practice at which the studies were conducted.

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Informed consent was obtained from all individual participants included in the study.

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Cho, JW., Chung, H.J., Kim, BS. et al. Fragment specific fixation technique using 2.7 mm VA LCP for comminuted posterior wall acetabular fractures: a novel surgical technique. Arch Orthop Trauma Surg 139, 1587–1597 (2019). https://doi.org/10.1007/s00402-019-03236-1

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  • DOI: https://doi.org/10.1007/s00402-019-03236-1

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