Single Ilioinguinal Approach to Treat Complex Acetabular Fractures with Quadrilateral Plate Involvement: Outcomes...

Area of Science:

• Orthopedic surgery
• Trauma surgery
• Skeletal reconstruction

Background:

• Complex acetabular fractures pose significant surgical challenges.
• The quadrilateral plate is a critical area for fixation in acetabular fractures.
• Minimally invasive approaches are preferred to reduce morbidity.

Purpose of the Study:

• To evaluate the efficacy and safety of the dynamic anterior plate-screw system (DAPSQ) for acetabular fractures.
• To assess the outcomes of DAPSQ using quadrilateral screws via a single ilioinguinal approach.

Main Methods:

• Retrospective study of 32 patients with acetabular fractures treated with DAPSQ.
• Single ilioinguinal approach utilized for all procedures.
• Outcomes assessed by Matta radiological criteria and modified Merle d'Aubigné scores.

Main Results:

• Anatomical reduction achieved in 59% of cases; imperfect in 28%; poor in 13%.
• Excellent or good functional outcomes (modified Merle d'Aubigné) in 88% of patients.
• Low complication rate, including temporary nerve injury and superficial infection; no screws entered the joint.

Conclusions:

• DAPSQ with quadrilateral screws is a safe and effective fixation technique.
• The single ilioinguinal approach is suitable for complex acetabular fractures with quadrilateral plate involvement.
• This method provides satisfactory radiological and functional results.