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Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le dimanche 25 novembre 2018
Doi : 10.1016/j.otsr.2018.10.004
Management of anteromedially displaced acetabular fractures using a collinear reduction clamp through modified ilioinguinal approach

Chul-Young Jang a, Dae-Kyung Kwak a, Hyung-Min Lee a, Ji-Hyo Hwang b, Je-Hyun Yoo a,
a Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, 896 Pyeongchon-dong, Dongan-gu, Anyang 431-070, South Korea 
b Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University School of Medicine, 948-1 Daerim-1 dong, Yeongdeungpo-gu, Seoul 150-950, South Korea 

Corresponding author.

The authors present a surgical technique using a collinear reduction clamp through the modified ilioinguinal approach (MIA) for anteromedially displaced acetabular fractures along with the surgical outcomes. Between October 2010 and June 2015, 15 patients underwent surgical treatment for anteromedially displaced acetabular fractures; 10 both-column fractures and 5 anterior column and posterior hemitransverse fractures. Anteriorly displaced anterior column fragment and medially displaced quadrilateral plate fragment were simultaneously reduced using a collinear clamp and fixed with a 3.5mm-reconstruction plate through MIA. Postoperatively, anatomical reduction was achieved in 12 patients, while imperfect reduction was achieved in 3. At a mean follow-up of 49.0 months (range, 24–93 months), the mean Postel Merle d’Aubigné score were 16.3 and the mean VAS score was 0.9. Final radiographic grades according to Matta system were excellent in 13 patients and good in 2. Surgical technique using a collinear reduction clamp through the MIA can provide satisfactory outcomes in anteromedially displaced acetabular fractures.

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Keywords : Acetabular fracture, Anteromedially displaced, Modified ilioinguinal approach, Collinear reduction clamp

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