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A Quantitative Anatomic Study of Plate-Screw Fixation of the Acetabular Posterior Column through a Posterior Approach.

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OBJECTIVE The aim of this study was to determine safe paths for screw placement on the posterior column of the acetabulum. METHODS A total of 25 male hemipelvises were utilized… Click to show full abstract

OBJECTIVE The aim of this study was to determine safe paths for screw placement on the posterior column of the acetabulum. METHODS A total of 25 male hemipelvises were utilized in this study. These hemipelvises were sectioned, and formed cross-sections A, B, C, D, and E. The length of the screw and screw posterior column angle of the entry points at cross-sections B, C, and D were measured. RESULTS On the margin of the acetabulum, lateral middle 1/4 point, midpoint, medial middle 1/4 point, and medial margin of the posterior column of each cross-section, the safe entry angle of inclination is 39, 57, 74, 90, and 106°, respectively, and the length of the screw is 35.5 mm, 33 mm, 32 mm, 31 mm, and 74 mm, respectively. CONCLUSION On the lateral 1/4 region, lateral middle 1/4 region, medial middle 1/4 region, and medial 1/4 region of the posterior column, the screw posterior column angle is 40 ~ 60°, 60 ~ 75°, 75 ~ 90°, and 90°~parallel to the quadrilateral plate, respectively, and the length of the screw is 30 mm.

Keywords: column; study; plate; length screw; posterior column; region

Journal Title: Zeitschrift fur Orthopadie und Unfallchirurgie
Year Published: 2020

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