Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (31): 4962-4967.doi: 10.3969/j.issn.2095-4344.2014.31.008

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Characteristics of locking reconstruction titanium plate in the treatment of acetabular fracture for aged patients

Wang Hai-bin1, Meng Chun-yang1, Wu Bin1, Han Liang1, Gao Ming1, Jia Cun-ling1, Jia Dai-liang2   

  1. 1Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining 272029, Shandong Province, China; 2General Department of Surgery, Jining Medical University, Jining 272029, Shandong Province, China
  • Received:2014-07-08 Online:2014-07-23 Published:2014-07-23
  • Contact: Meng Chun-yang, M.D., Professor, Doctoral supervisor, Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining 272029, Shandong Province, China
  • About author:Wang Hai-bin, Master, Associate chief physician, Department of Orthopedics, Affiliated Hospital of Jining Medical University, Jining 272029, Shandong Province, China

Abstract:

BACKGROUND: Pelvic and acetabular fractures in elderly are frequently observed in the clinic, and the incidence gradually increased. Moreover, it is difficult to conduct reduction and fixation due to their physical status and osteoporosis to different degrees. Locking plate is ideal fixation material in surgical treatment of acetabular fractures in elderly due to the special functions and good molding of screw and locking plate.
OBJECTIVE: To analyze the advantages and disadvantages of locking reconstruction plate used in the acetabular fracture for the aged patients and to improve the clinical effect of acetabular fractures in elderly.
METHODS: From January 2010 to February 2013, 21 aged patients with acetabular fracture were treated by open reduction and internal fixation with locking reconstruction plates made of titanium and 00Cr18Ni14Mo3 stainless steel in the Department of Orthopedics Affiliated Hospital of Jining Medical University.
RESULTS AND CONCLUSION: Of 21 patients, 20 cases were followed up for 12-18 months (mean 14 months), but one dropped out. All the fractures were healed within 4-6 months and no failure cases. According to Matta evaluation criteria, the satisfactory rate was 90%. According to the D’Aubigne scoring system, the excellent and good rate was 95%. These data indicated that locking reconstruction titanium plate is reliable, has low failure rate and satisfactory clinical effects for acetabular fracture in aged patients, and is ideal fixation material in treatment of acetabular fractures in elderly.


中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程


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Key words: acetabulum, internal fixators, fractures, bone, bone plates

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