Analysis of the effect of new H-shaped anatomical titanium plate for acetabular fracture involving posterior wall/posterior column

doi:10.3877/cma.j.issn.2096-0263.2021.03.004

Abstract

Abstract:

Objective

To investigate the effect of applying a new H-shaped anatomical titanium plate to acetabular fractures involving the posterior wall/posterior column.

Methods

From January 2014 to June 2019, 130 patients with acetabular fractures involving posterior wall and posterior column were retrospectively analyzed, including 77 males and 53 females with an average age of (53.04±12.85) years old, 68 patients were divided in the experimental group (New H-shaped anatomical titanium plate fixation) and 62 patients in the control group (conventional anatomical plate fixation). of the two groups were compared. Patients were followed up and the rate of complications, operation index and fracture healing and hip function recovery between the two groups was compared.

Results

130 patients were followed up for 18 months. The average fracture healing time of the experimental group was (14. 85±1.12) weeks, which was shorter than (17.44±1.05) weeks of the control group (t=13.567, P<0.001). The Harris score and excellent and good rate of Harris score 1.5 years after operation of the experimental group washigher than the control group. There were no significant differences in operation time, intraoperative blood loss, anatomical reduction rate, satisfactory reduction rate and the rate of complications between two groups (P>0.05).

Conclusion

The new H-shaped anatomical titanium plate is an ideal surgical method for cetabular fracture involving the posterior wall/posterior column.

Key words: Posterior wall, Posterior column, Acetabular fracture, New H-shaped anatomical titanium plate, Curative effect

Lining Qin, Na Xu, Jing Dong, Dong Dong, Yuan Lin. Analysis of the effect of new H-shaped anatomical titanium plate for acetabular fracture involving posterior wall/posterior column[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(03): 147-151.

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References 19

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组别	例数	年龄（岁，±s）	性别（例，男/女）	致伤原因（例，车祸伤/坠落伤/摔伤）	损伤分型（例，累及后壁/累及后柱/累及后壁加后柱）	受伤至治疗时间（d，±s）
试验组	68	52.48±11.87	41/27	43/20/5	39/6/23	7.52±2.35
对照组	62	53.65±14.85	36/26	41/17/4	35/6/21	7.85±2.28
统计值		t=0.498	χ²=0.067	χ²=0.352	χ²=0.069	t=0.811
P值		0.619	0.796	0.725	0.945	0.419

组别	例数	年龄（岁，±s）	性别（例，男/女）	致伤原因（例，车祸伤/坠落伤/摔伤）	损伤分型（例，累及后壁/累及后柱/累及后壁加后柱）	受伤至治疗时间（d，±s）
试验组	68	52.48±11.87	41/27	43/20/5	39/6/23	7.52±2.35
对照组	62	53.65±14.85	36/26	41/17/4	35/6/21	7.85±2.28
统计值		t=0.498	χ²=0.067	χ²=0.352	χ²=0.069	t=0.811
P值		0.619	0.796	0.725	0.945	0.419

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	引流量（ml，±s）	骨折愈合时间（w，±s）	骨折复位（例，解剖复位/满意复位）
试验组	68	105.66±14.75	781.65±85.74	345.58±61.48	14.85±1.12	39/29
对照组	62	110.85±21.85	787.25±122.48	350.66±72.85	17.44±1.05	35/27
统计值		t=1.600	t=0.304	t=0.431	t=13.567	χ²=0.011
P值		0.112	0.762	0.667	<0.001	0.918

组别	例数	手术时间（min，±s）	术中出血量（ml，±s）	引流量（ml，±s）	骨折愈合时间（w，±s）	骨折复位（例，解剖复位/满意复位）
试验组	68	105.66±14.75	781.65±85.74	345.58±61.48	14.85±1.12	39/29
对照组	62	110.85±21.85	787.25±122.48	350.66±72.85	17.44±1.05	35/27
统计值		t=1.600	t=0.304	t=0.431	t=13.567	χ²=0.011
P值		0.112	0.762	0.667	<0.001	0.918

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