کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4081148 1604735 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The submuscular sliding plate technique for acetabular posterior wall fractures extending to the acetabular roof
ترجمه فارسی عنوان
تکنیک اسکلت کششی زیرشیروانی برای شکستگیهای دیواره خلفی استابولایی که به سقف استابولا گسترش می یابد
کلمات کلیدی
استابلوم، شکستگی ساق پا، دیوار پشتی، سقف استابلایزر، تکنیک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

There is extension of the Kocher-Langenbeck approach using trochanteric osteotomy for posterior wall fracture extending to acetabular roof, but it exposes to complications such as nonunion, breakage, and heterotopic ossification. The current study introduces a submuscular sliding plate technique. We retrospectively analyzed 13 patients treated with this technique. It is based on conventional method for posterior wall fracture. After reduction of roof fragment with direct visualization, a pre-contoured plate was passed through a submuscular tunnel under the gluteus medius and minimus. A small split incision was performed on the muscles, and screws were inserted with a triple trocar complex safely under fluoroscopic imaging. All patients had fracture union without complications. X-rays results showed anatomical reduction in 10 cases and imperfect reduction in 3 cases. Our results were satisfactory, particularly without heterotopic ossifications despite no prophylactic regimen of NSAID was applied and no neurological complications, so we believe that this technique is a good option for posterior wall fractures extending to the acetabular roof.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Orthopaedics & Traumatology: Surgery & Research - Volume 100, Issue 8, December 2014, Pages 967–970
نویسندگان
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