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Pelvic & Acetabular Fracture Treatment - Stryker

Pelvic & Acetabular Fracture Treatment - Stryker

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<strong>Acetabular</strong> <strong>Fracture</strong> Types<br />

Posterior Column & Posterior Wall<br />

Matta<br />

Reduction/Fixation through the Kocher-Langenbeck surgical approach.<br />

• Initial fixation of the posterior<br />

column with an independent lag<br />

screw and/or five or six-hole plate.<br />

• If the posterior wall fragment is large<br />

enough, it should be fixed into its bed<br />

with one or two lag screws.<br />

• Definitive stabilization of the<br />

posterior wall and column is obtained<br />

by adding a seven or eight-hole MPS<br />

curved plate buttressing the posterior<br />

wall and anchored securely to the<br />

ilium and ischium using 3.5mm<br />

screws.<br />

Transverse & Posterior Wall<br />

Reduction/Fixation through the Kocher-Langenbeck surgical approach.<br />

• Two 3.5 or 4.5mm independent<br />

lag screws stabilize the transverse<br />

fracture component.<br />

• One or two independent 3.5mm lag<br />

screw maintained the reduction of the<br />

posterior wall fragment.<br />

• An MPS flex (annealed) eight-hole<br />

plate or alternatively a six or<br />

seven-hole curved plate is applied<br />

to buttress the posterior wall.<br />

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