Biomechanical comparison of fixation techniques for associated both-column acetabular fractures requiring single (anterior or posterior) versus combined anterior–posterior approaches

In our ABC fracture model, both column plate fixation (AP + PP) via a combined approach did not demonstrate superior biomechanical stability compared with single column plate plus other column lag screw fixation. The latter, however, requires only one approach, thereby reducing surgical time and approach-related morbidity, and appears preferable if reduction of both columns is achievable through a single approach.

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Publication Details

Journal
Archives of Orthopaedic and Trauma Surgery
Published
2025-10-24
DOI
https://doi.org/10.1007/s00402-025-06072-8
Primary Topic
Pelvic and Acetabular Injuries
Type
article
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article

Biomechanical comparison of fixation techniques for associated both-column acetabular fractures requiring single (anterior or posterior) versus combined anterior–posterior approaches

Andreas E. Ellmerer, Peter J. Schwendinger, Huy Le Quang, Richard A. Lindtner et al.
Archives of Orthopaedic and Trauma Surgery
Pelvic and Acetabular Injuries
article

Biomechanical comparison of fixation techniques for associated both-column acetabular fractures requiring single (anterior or posterior) versus combined anterior–posterior approaches

Andreas E. Ellmerer, Peter J. Schwendinger, Huy Le Quang, Richard A. Lindtner, Dietmar Krappinger, Axel Gänsslen, Werner Schmoelz
article en

Abstract

In our ABC fracture model, both column plate fixation (AP + PP) via a combined approach did not demonstrate superior biomechanical stability compared with single column plate plus other column lag screw fixation. The latter, however, requires only one approach, thereby reducing surgical time and approach-related morbidity, and appears preferable if reduction of both columns is achievable through a single approach.

Archives of Orthopaedic and Trauma SurgeryVol. 145(1)
Innsbruck Medical University (AT), Universität Innsbruck (AT), Medizinische Hochschule Hannover (DE), Hung Vuong Hospital (VN), Johannes Wesling Klinikum Minden (DE)
Openalex Percentile: Top 52%
Pelvic and Acetabular Injuries
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