Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures
Background: Here we have defined a novel technique for repairing posterior acetabular wall fractures called the “crescent technique,” in which dual C-shaped reconstruction plates overlap at the distal ends and, if necessary, at the proximal ends. We also analyzed the efficacy and reliability of this...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2020-08-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2018.1550541 |
| _version_ | 1797684666662125568 |
|---|---|
| author | Cem Yalın Kılınc Ahmet Emrah Acan Emre Gultac Rabia Mihriban Kılınc Sancar Serbest Ugur Tiftikci Nevres Hurriyet Aydogan |
| author_facet | Cem Yalın Kılınc Ahmet Emrah Acan Emre Gultac Rabia Mihriban Kılınc Sancar Serbest Ugur Tiftikci Nevres Hurriyet Aydogan |
| author_sort | Cem Yalın Kılınc |
| collection | DOAJ |
| description | Background: Here we have defined a novel technique for repairing posterior acetabular wall fractures called the “crescent technique,” in which dual C-shaped reconstruction plates overlap at the distal ends and, if necessary, at the proximal ends. We also analyzed the efficacy and reliability of this method. Patients and Methods: This was a retrospective analysis of 27 patients undergoing the crescent technique. All of the fractures were treated by the senior author for a mean of 7.9 days (0–15 days) after the trauma. The mean follow-up period was 19 months (13–29 months). The clinical results were evaluated using the modified clinical grading system developed by Merle d’Aubigne and Postel, and then modified by Matta. The radiographs were graded according to the criteria described by Matta. Results: In the clinical grading, 16 (59%) of the patients were excellent and very good, 5 (19%) were good, 3 (11%) were moderate, and 3 (11%) were poor. According to the Matta radiological evaluation criteria, 19 (70%) were excellent, 4 (15%) were good, 4 (15%) were fair, and none were poor. Statistically significant consistency was seen between the clinical and radiological results (p = 0.002). Conclusions: The crescent technique is a dual plate technique modification that can provide a stable fixation. It appears to be an effective and reliable method for treating posterior wall fractures of the acetabulum. |
| first_indexed | 2024-03-12T00:34:03Z |
| format | Article |
| id | doaj.art-5092eed1505e49838bc1406a89060f7c |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:34:03Z |
| publishDate | 2020-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-5092eed1505e49838bc1406a89060f7c2023-09-15T10:07:29ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532020-08-0133767568310.1080/08941939.2018.15505411550541Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall FracturesCem Yalın Kılınc0Ahmet Emrah Acan1Emre Gultac2Rabia Mihriban Kılınc3Sancar Serbest4Ugur Tiftikci5Nevres Hurriyet Aydogan6Mugla Sitki Kocman UniversityMugla Sitki Kocman UniversityMugla Sitki Kocman UniversityMugla Sitki Kocman UniversityKırıkkale UniversityKırıkkale UniversityMugla Sitki Kocman UniversityBackground: Here we have defined a novel technique for repairing posterior acetabular wall fractures called the “crescent technique,” in which dual C-shaped reconstruction plates overlap at the distal ends and, if necessary, at the proximal ends. We also analyzed the efficacy and reliability of this method. Patients and Methods: This was a retrospective analysis of 27 patients undergoing the crescent technique. All of the fractures were treated by the senior author for a mean of 7.9 days (0–15 days) after the trauma. The mean follow-up period was 19 months (13–29 months). The clinical results were evaluated using the modified clinical grading system developed by Merle d’Aubigne and Postel, and then modified by Matta. The radiographs were graded according to the criteria described by Matta. Results: In the clinical grading, 16 (59%) of the patients were excellent and very good, 5 (19%) were good, 3 (11%) were moderate, and 3 (11%) were poor. According to the Matta radiological evaluation criteria, 19 (70%) were excellent, 4 (15%) were good, 4 (15%) were fair, and none were poor. Statistically significant consistency was seen between the clinical and radiological results (p = 0.002). Conclusions: The crescent technique is a dual plate technique modification that can provide a stable fixation. It appears to be an effective and reliable method for treating posterior wall fractures of the acetabulum.http://dx.doi.org/10.1080/08941939.2018.1550541acetabulumdual platefractureposterior wall |
| spellingShingle | Cem Yalın Kılınc Ahmet Emrah Acan Emre Gultac Rabia Mihriban Kılınc Sancar Serbest Ugur Tiftikci Nevres Hurriyet Aydogan Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures Journal of Investigative Surgery acetabulum dual plate fracture posterior wall |
| title | Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures |
| title_full | Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures |
| title_fullStr | Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures |
| title_full_unstemmed | Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures |
| title_short | Crescent Technique with Dual C-Shaped Reconstruction Plates for Posterior Acetabular Wall Fractures |
| title_sort | crescent technique with dual c shaped reconstruction plates for posterior acetabular wall fractures |
| topic | acetabulum dual plate fracture posterior wall |
| url | http://dx.doi.org/10.1080/08941939.2018.1550541 |
| work_keys_str_mv | AT cemyalınkılınc crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT ahmetemrahacan crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT emregultac crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT rabiamihribankılınc crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT sancarserbest crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT ugurtiftikci crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures AT nevreshurriyetaydogan crescenttechniquewithdualcshapedreconstructionplatesforposterioracetabularwallfractures |