Indian Journal of Research in Homeopathy

REVIEW ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 2  |  Page : 75--81

Management of quadrilateral plate fractures: An up to date


Shilp Verma, Alok Chandra Agrawal, Ranjeet Choudhary, Nagaraju Venishetty 
 Department of Orthopaedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Correspondence Address:
Dr. Shilp Verma
Department of Orthopaedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh
India

Acetabular fractures are result of mostly high velocity injury with an incidence of 3/100,000/year. However in elderly patent low energy trauma also result in acetabulum fracture due to osteoporosis. Most of acetabular fracture commonly combined with quadrilateral plate fractures. Till date there is no standard classification system for quadrilateral plate fracture of acetabulum is published which can be utilized for accurately studying the fracture pattern and planning for the surgical approach with management. Initially acetabulum fracture was managed conservatively with traction for at least 6 weeks which results in aggravation of secondary symptoms such as pressure sore, DVT, post traumatic arthritis, loss of muscle strength and endurance. Aim of acetabulum fracture fixation are to allow early mobilization, restoring joint congruity, pain relive and reducing the risk of post traumatic arthritis. An internet search of MEDLINE and PMC using the search term 'acetabular fracture', 'quadrilateral plate fracture' and central hip dislocation in English language was performed on 1st march 2021. Papers specific with quadrilateral plate fracture were only included in the study and we found variety of technique available for displaced quadrilateral plate fractures, such as cerclage wire-plate composite, pelvic brim long screws, various combinations of spring plates (T-shaped plate, L-shaped plate, infrapectineal plate, H-plate, and multidirectional titanium fixator. In this review article we studied different treatment modalities and techniques used over several decades for management of quadrilateral fracture with their outcome.


How to cite this article:
Verma S, Agrawal AC, Choudhary R, Venishetty N. Management of quadrilateral plate fractures: An up to date.J Orthop Traumatol Rehabil 2021;13:75-81


How to cite this URL:
Verma S, Agrawal AC, Choudhary R, Venishetty N. Management of quadrilateral plate fractures: An up to date. J Orthop Traumatol Rehabil [serial online] 2021 [cited 2022 Jun 27 ];13:75-81
Available from: https://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=75;epage=81;aulast=Verma;type=0