Tamás Bodzay, Gergely Sztrinkai, András Kocsis, Báliinstnt Kozma, Tamás Gál, Károly Váradi
{"title":"髋臼双柱骨折不同固定方法的比较。","authors":"Tamás Bodzay, Gergely Sztrinkai, András Kocsis, Báliinstnt Kozma, Tamás Gál, Károly Váradi","doi":"10.5606/ehc.2018.59268","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate if the stabilization of iliac wing fractures influences the stability of the acetabular osteosynthesis, if surgical fixation is the choice of treatment, and which technique to be used.</p><p><strong>Materials and methods: </strong>In the study, measurements were performed with an improved finite element model. Tension and displacement values were measured in bicolumnar acetabular fractures in the following cases: combination of cranial and medial plate fixation through the linea terminalis, or combination of cranial plate and quadrilateral surface plates. The iliac wing fracture was either not fixed, or fixed with screws or with a plate.</p><p><strong>Results: </strong>In cases where osteosynthesis was performed through the linea terminalis, 0.01 mm fracture gap displacement was observed with the use of a combination of cranial and quadrilateral surface plate fixations. In the combination of cranial and medial positioned plates, the displacement in the fracture gap was 0.088 mm. The fixation of the iliac wing fracture did not improve the stability of the osteosynthesis of the linea terminalis. Plate fixation of the iliac wing fracture was more stable than screw fixation alone.</p><p><strong>Conclusion: </strong>In double column fractures, if the reduction does not require an anterior approach, it is not necessary to fix the iliac wing fracture only to improve the stability of the fixation. If the reduction does require an anterior approach, it is worth fixing the iliac wing fracture with the technically less demanding screw fixation.</p>","PeriodicalId":50551,"journal":{"name":"Eklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery","volume":"29 1","pages":"2-7"},"PeriodicalIF":1.6000,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":"{\"title\":\"Comparison of different fixation methods of bicolumnar acetabular fractures.\",\"authors\":\"Tamás Bodzay, Gergely Sztrinkai, András Kocsis, Báliinstnt Kozma, Tamás Gál, Károly Váradi\",\"doi\":\"10.5606/ehc.2018.59268\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aims to investigate if the stabilization of iliac wing fractures influences the stability of the acetabular osteosynthesis, if surgical fixation is the choice of treatment, and which technique to be used.</p><p><strong>Materials and methods: </strong>In the study, measurements were performed with an improved finite element model. Tension and displacement values were measured in bicolumnar acetabular fractures in the following cases: combination of cranial and medial plate fixation through the linea terminalis, or combination of cranial plate and quadrilateral surface plates. The iliac wing fracture was either not fixed, or fixed with screws or with a plate.</p><p><strong>Results: </strong>In cases where osteosynthesis was performed through the linea terminalis, 0.01 mm fracture gap displacement was observed with the use of a combination of cranial and quadrilateral surface plate fixations. In the combination of cranial and medial positioned plates, the displacement in the fracture gap was 0.088 mm. The fixation of the iliac wing fracture did not improve the stability of the osteosynthesis of the linea terminalis. Plate fixation of the iliac wing fracture was more stable than screw fixation alone.</p><p><strong>Conclusion: </strong>In double column fractures, if the reduction does not require an anterior approach, it is not necessary to fix the iliac wing fracture only to improve the stability of the fixation. If the reduction does require an anterior approach, it is worth fixing the iliac wing fracture with the technically less demanding screw fixation.</p>\",\"PeriodicalId\":50551,\"journal\":{\"name\":\"Eklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery\",\"volume\":\"29 1\",\"pages\":\"2-7\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2018-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5606/ehc.2018.59268\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5606/ehc.2018.59268","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
Comparison of different fixation methods of bicolumnar acetabular fractures.
Objectives: This study aims to investigate if the stabilization of iliac wing fractures influences the stability of the acetabular osteosynthesis, if surgical fixation is the choice of treatment, and which technique to be used.
Materials and methods: In the study, measurements were performed with an improved finite element model. Tension and displacement values were measured in bicolumnar acetabular fractures in the following cases: combination of cranial and medial plate fixation through the linea terminalis, or combination of cranial plate and quadrilateral surface plates. The iliac wing fracture was either not fixed, or fixed with screws or with a plate.
Results: In cases where osteosynthesis was performed through the linea terminalis, 0.01 mm fracture gap displacement was observed with the use of a combination of cranial and quadrilateral surface plate fixations. In the combination of cranial and medial positioned plates, the displacement in the fracture gap was 0.088 mm. The fixation of the iliac wing fracture did not improve the stability of the osteosynthesis of the linea terminalis. Plate fixation of the iliac wing fracture was more stable than screw fixation alone.
Conclusion: In double column fractures, if the reduction does not require an anterior approach, it is not necessary to fix the iliac wing fracture only to improve the stability of the fixation. If the reduction does require an anterior approach, it is worth fixing the iliac wing fracture with the technically less demanding screw fixation.
期刊介绍:
Joint Diseases and Related Surgery (formerly published as Eklem Hastalıkları ve Cerrahisi) is the official publication of the Turkish Joint Diseases Foundation.
Joint Diseases and Related Surgery is open access journal. The full text of the articles of the Journal is freely available without embargo since 1990.
Joint Diseases and Related Surgery is international, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of joint diseases and related surgey.