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Published: 2017-02-21

Designation and Validation of a Posterior Anatomical Plate for the Anterior Column of the Acetabulum

Lifeng Zhang, Chuangxin Lin, Shenglu Cao, Yiran Wang, Geng Peng, Yongqiang Xu, Yongzeng Feng, Gang Wang

(Nan Fang Hospital of Nan Fang Medical University, Guangzhou, Guangdong, China (mainland))

Med Sci Monit 2017; 23:948-952

DOI: 10.12659/MSM.899669


BACKGROUND: Surgical treatment of acetabular fractures is one of the greatest challenges for orthopedic surgeons. Fixation of most displaced fractures requires extensive exposure, which may lead to complications, including blood loss, neural or vascular injury, postoperative infection, wound healing problems, and heterotopic bone formation.
MATERIAL AND METHODS: This study was conducted to certify an anatomic plate with an anterior column lag screw guiding device to repair the posterior acetabulum. Complete pelvic spiral computed tomography (CT) scan data were collected from 56 patients. The posterior column of the acetabulum was simulated with a lag screw. The guiding device for the plate was designed by measuring the position of the screw point and the direction and maximum diameter of the screw.
RESULTS: The distance from the screw point to the apex of the greater sciatic notch was farther in women than in men. The distance from the screw point to the ischial spine was also farther in women than in men. The q angle (front inclination angle) of the screw was lower in women than in men. The j angle (camber screw angle) was greater in women than in men. The success rate when using the guided device was significantly higher than when using traditional pedicle screws.
CONCLUSIONS: The guided device was very useful for improving placement success and accuracy rates of the acetabular posterior anatomical anterior column plate using antegrade lag screws, and for reducing surgical risk and injury.

Keywords: Acetylgalactosamine, Fiducial Markers, Medroxyprogesterone Acetate




Published: 2017-02-21

Differential Expression and Clinical Significance of DNA Methyltransferase 3B (DNMT3B), Phosphatase and T...


Wenting Li, Ying Wang, Xinzhi Fang, Mei Zhou, Yiqun Li, Ying Dong, Ruozheng Wang

Med Sci Monit 2017; 23:938-947

DOI: 10.12659/MSM.902267

Published: 2017-02-20

A Variant in the Precursor of MicroRNA-146a is Responsible for Development of Erectile Dysfunction in Pat...


Jian Ding, Yuxin Tang, Zhengyan Tang, Xiangyang Zhang, Guilin Wang

Med Sci Monit 2017; 23:929-937

DOI: 10.12659/MSM.898406