{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:43:27Z","timestamp":1740109407535,"version":"3.37.3"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002352","name":"Ain Shams University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002352","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Management of quadrilateral plate fractures is technically demanding and requires specific fixation techniques. Infra-pectineal plating is the gold standard method of fixation. However, we recorded a high incidence of medial wall displacement and reoperations. Therefore, the aim of our study was to identify whether supra-pectineal quadrilateral buttress plating provides much more rigid fixation with a better functional and radiological outcome or not.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patients and Methods<\/jats:title>\n                <jats:p>The authors conducted this prospective, randomized control, single-blinded study at a level 1 single trauma centre. Between March 2022 and June 2023, 34 patients with quadrilateral plate fractures had anterior fixation, either via the anatomical QLP (17 cases) or infra-pectineal plating (17 cases) (Groups A and B, respectively). The radiological and clinical outcomes, as well as residual medial wall displacement, were the primary outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean follow-up was 14.47\u00a0months in group A and 15.24\u00a0months in group B. In group A, the mean operative time (<jats:italic>p<\/jats:italic>\u2009=\u20090.02) was shorter, and the mean blood loss (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) was significantly lower. However last follow-up showed no statistically significant differences as regards residual medial wall displacement (<jats:italic>p<\/jats:italic>\u2009=\u20091.0), final radiological (<jats:italic>p<\/jats:italic>\u2009=\u20090.86), and clinical outcomes (<jats:italic>p<\/jats:italic>\u2009=\u20091.0).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Authors concluded that the anatomical QLP made it easier to reduce and fix acetabular fractures with a displaced medial wall. This was done by using multidirectional screws in the posterior column through its infra-pectineal extension and a strong screw purchase aimed at the posterior column through its supra-pectineal part<jats:bold>.<\/jats:bold> The two groups were similar in terms of final radiological and clinical outcomes, as well as residual medial wall displacement rates. However, the QLP had less morbidity than the classic infra-pectineal plating (shorter operation time and less blood loss).<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00264-024-06344-9","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T01:01:32Z","timestamp":1729040492000},"page":"229-240","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Supra-pectineal quadrilateral buttress plating versus infra-pectineal plating in the management of quadrilateral plate fractures: A randomized controlled trial"],"prefix":"10.1007","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2685-2765","authenticated-orcid":false,"given":"Islam Sayed","family":"Moussa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr Mohammed","family":"Nagy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"issue":"2","key":"6344_CR1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.ocl.2013.01.002","volume":"44","author":"PD Henry","year":"2013","unstructured":"Henry PD, Kreder HJ, Jenkinson RJ (2013) The osteoporotic acetabular fracture. 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The guidelines of the International Council on Harmonization (ICH) in Anesthesiology and the Islamic Organization for Medical Sciences (IOMS) guided the organization and operation of the trial. The United States Office for Human Research Protections and the United States Code of Federal Regulations operate under Federal Wide Assurance No. 000017585 (retrospectively registered).","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Trial registration"}},{"value":"Ain Shams University's Ethics Committee has approved the study. We obtained additional informed consent from each individual participant whose identifying information appears in this article. Also, we obtained written informed consent from all participants. The Ethics Committee of Ain Shams University approved the study protocol, ensuring it adheres to the provisions of the Declaration of Helsinki (as revised in Tokyo in 2004).","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}]}}