[Translated article] Intrapelvic suprapectineal acetabular plates interfere with the quality of reduction evaluations on postoperative X-rays. A retrospective case series.

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Tác giả: J V Andrés-Peiró, A Bustos-Mardones, Y García-Sánchez, C Lloret-Peiró, P Martínez-Collado, C A Piedra-Calle, J Selga-Marsá, J Teixidor-Serra, J Tomás-Hernández

Ngôn ngữ: eng

Ký hiệu phân loại: 306.47 *Art

Thông tin xuất bản: Spain : Revista espanola de cirugia ortopedica y traumatologia , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 230177

INTRODUCTION: Intrapelvic suprapectineal plates play an important role in acetabular fracture fixation. However, the shape of these implants may interfere with the quality of reduction evaluations using plain X-rays. We sought to evaluate this artifact and its relationship with CT findings. MATERIALS AND METHODS: In a retrospective, single-center series of 22 acetabular fractures, postoperative AP, alar and obturator X-ray views and CT images were evaluated by three independent observers. Cohen's kappa was used to examine interrater reliability. RESULTS: Suprapectineal plates interfered with the evaluation of the weight-bearing surface in 75.3%, and with all three oblique views in 43.9% of cases. The central segment was most consistently interfered with, corresponding to the area where the greatest malreduction was in 46.9% coronal and 42.4% of sagittal CT views. CONCLUSIONS: Since the quality of reduction has prognostic value and is a necessary guide for the surgical team, that CT may be considered for the postoperative examination of the most challenging acetabular fracture cases.
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