Operative Techniques in Orthopaedics
Volume 21, Issue 4 , Pages 276-279, December 2011

Treatment of Low-Energy Geriatric Acetabular Fractures With Protrusio

  • Peter A. Siska, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Peter A. Siska, MD, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Kaufmann Medical Building, Suite 911, Pittsburgh, PA 15213

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA

The intrapelvic approach is ideally suited for selected geriatric acetabular fractures with quadrilateral plate involvement. Infrapectineal plating is biomechanically advantageous to buttress the fractured quadrilateral surface. As a technical tip, plate fixation posteriorly into the sciatic buttress is reliable. However, anterior fixation is inconsistent. Usage of locking screws or cabling technique is preferable.

Keywords:  geriatric , acetabular fracture , quadrilateral plate , infrapectineal plating

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PII: S1048-6666(11)00105-4

doi:10.1053/j.oto.2011.09.003

Operative Techniques in Orthopaedics
Volume 21, Issue 4 , Pages 276-279, December 2011

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