The use of cervical vertebrae plates for cortical substitution in posterior wall acetabular fractures. J Orthop Trauma 2011 Sep;25(9):577-80
Date
06/10/2011Pubmed ID
21654531DOI
10.1097/BOT.0b013e3181f8d34cScopus ID
2-s2.0-80052270703 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
We report a new technique for operative fixation of posterior wall acetabular fractures that require cortical substitution. This technique uses cervical vertebrae plates that are H-shaped as an alternative to the combination of standard locking or nonlocking pelvic reconstruction plates and cortical substitution plates, ie, spring plates. We believe this technique provides a more robust structural support with the plate acting as a cortical substitute in comminuted fracture patterns. Compared with pelvic reconstruction plates, cervical vertebrae plates are almost twice as wide. Additionally, the plate configuration allows more screws per unit length compared with pelvic reconstruction plates, potentially providing more points of fixation. Finally, cost comparison of the two plates shows the cervical vertebrae plates to be less expensive than standard pelvic reconstruction plates. Our series of 23 consecutive patients shows outcomes similar to the published literature for standard pelvic reconstruction plates, and initial results show no early hardware failure.
Author List
Schwab JM, Zebrack J, Schmeling GJ, Johnson JAuthor
Gregory J. Schmeling MD Vice Chair, Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AcetabulumBone Plates
Cervical Vertebrae
Female
Fracture Fixation, Internal
Hip Fractures
Humans
Indomethacin
Male
Middle Aged
Ossification, Heterotopic
Prosthesis Design
Radiography
Treatment Outcome
