Locally Crafted Hooked Plate for Fixation of Posterior Wall Acetabular Rim Fractures | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 60, Issue 2, June 2025, Page 139-144 PDF (767.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/EOJ.2025.431794 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hany Hamed  ; Hesham Mohamed Gawish
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| Department of Orthopedic Surgery and Traumatology, Kafr El-Sheikh University, Egypt. | ||||
| Abstract | ||||
| Background Treatment of posterior wall acetabular fractures with marginal fragments remains difficult to achieve good reduction and stability. Objectives Evaluating the use of locally crafted hooked plates for fixation of comminuted or small marginal fracture fragments of posterior wall acetabulum rim. Patients and Methods A retrospective study included 30 patients who had posterior wall acetabular rim fractures between a period from August 2018 to December 2021. They were treated by open reduction and internal fixation with one or two locally crafted 3.5-mm third tubular plates “hooked plates” with 3.5-mm reconstruction plate overlapping. Patients were evaluated radiographically according to Matta grading criteria. Clinical outcome was assessed using the Harris hip score (HHS). Results This study included 30 patients with an average age of 34 years who underwent surgical fixation of posterior wall acetabular rim fractures. The mean follow-up period was 12 months (range:6 – 20 months). Clinical outcomes at the final follow up according to HHS were 25 patients excellent (83.3%), 3 good (10%), 1 fair (3.3%), and 1 poor (3.3%). Radiologically according to Matta grading was anatomical in 26 cases (86.7%), imperfect in 3 cases (10%), and poor in one case (3.3%). Complications took place in two patients who underwent revision surgery. One patient underwent a total hip arthroplasty due to advanced arthritis and the other patient showed early signs of infection and was treated by early surgical debridement and irrigation. Conclusions Locally crafted hooked plate is an effective method for fixation of comminuted and marginal posterior wall acetabular rim fractures with good stability and without secondary displacement. | ||||
| Keywords | ||||
| Acetabulum rim fracture; Fracture acetabulum; Hook plate; Internal fixation; Posterior wall acetabulum | ||||
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