An assessment of the clinico-radiological and functional results of fixing acetabular fractures with quadrilateral plate involvement using intrapelvic reduction and buttress plate via modified Stoppa technique

Kumar  Rahul; Anant  Akash; Nilesh Kumar  Agrawal; Santosh  Kumar

doi:10.51168/sjhrafrica.v5i12.1501

Authors

Kumar Rahul Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Anant Akash Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Nilesh Kumar Agrawal Senior Resident, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Santosh Kumar Professor and Head, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1501

Keywords:

Quadrilateral plate, Acetabular Fracture, Hip joint Fracture fixation, Modified Stoppa approach

Abstract

Background- To achieve the best outcomes, precise reduction in anatomy, fixation of the firm, and rehabilitation are required. The most significant weight-bearing joint in the hip joint, and its fracture is intra-articular is the acetabulum. Several authors have suggested innovative fastening techniques to address these issues, such as an infrapectineal plate and many unique quadrilateral surface buttresses or spring plates to support the quadrilateral plate.

Objectives- The objective of this study was to assess instances of quadrilateral plate acetabular fractures that were treated with internal fixation and open reduction.

Materials and methods- The study was a prospective study which was performed at the Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, Bihar, India. The study has been conducted for one year. Overall, 20 participants were enrolled in the study.

Results- The participants age in this study was 39.2 ± 11.1 years on average. Among all participants, most of the enrolled participants were male. On the right side of 11 (%) hips and the left side of 09 (%) hips, all fractures were unilateral. 05 (%) patients experienced a fall from a height, 07 (%) patients were run over by a pedestrian, and 08 (%) patients were involved in motor vehicle accidents. The surgery took an average of 154 ± 29.1 minutes. According to Matta, the radiographic data showed that the hips in 09 (45%) had excellent results, the hips in 07 (35%), the hips in 03 (15%) had good results, and the hips in 01 (5%) had poor results.

Conclusion- The outcome of the study was that it was a simple, secure, and effective surgical method for pelvic stabilization in carefully selected patients with a quadrilateral plate of acetabulum fractures is shown to be reduced openly and fixed internally. It has a low failure rate and promising results.