{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T06:34:18Z","timestamp":1776321258011,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003819","name":"Natural Science Foundation of Hubei Province","doi-asserted-by":"publisher","award":["2017ACA099"],"award-info":[{"award-number":["2017ACA099"]}],"id":[{"id":"10.13039\/501100003819","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the efficacy and safety of a novel fixation technique referred to as the dynamic anterior plate\u2013screw system for quadrilateral plate (DAPSQ) for complex acetabular fractures with quadrilateral plate involvement through the single ilioinguinal approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 32 patients with acetabular fractures, selected between January 2009 and March 2016, were managed by DAPSQ with \u201cquadrilateral screws\u201d through single ilioinguinal approach. The primary outcomes measure was the reduction quality evaluated according to the Matta radiological criteria, and the functional outcomes were evaluated by the modified Merle d'Aubign\u00e9 score at the last follow\u2010up. Secondary outcomes were postoperative complications and intraoperative conditions included, for instance, operation time and blood loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of these 32 consecutive patients, 19, 9, and 4 were classified as both columns, anterior column posterior hemi\u2010transverse, and T\u2010shaped fractures, respectively, and with an average of 47\u2009months\u2019 follow\u2010up. Anatomic reduction was obtained in 19 cases (59%), imperfect reduction in 9 cases (28%), and poor reduction in 4 cases (13%). The modified Merle d'Aubign\u00e9 scores were excellent in 15 cases (47%), good in 13 cases (41%), fair in 2 cases (6%), and poor in 2 cases (6%). Three cases sustained temporary lateral femoral cutaneous nerve injuries. One patient had a superficial wound infection that resolved after debridement. Five patients had posttraumatic arthritis; one of them underwent total hip arthroplasty at 46\u2009months. No cases had quadrilateral screws entering the hip joint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of DAPSQ with quadrilateral screws is an effective and safe choice for complex acetabular fractures with quadrilateral plate involvement through the single ilioinguinal approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12648","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T03:16:22Z","timestamp":1583982982000},"page":"488-497","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Single Ilioinguinal Approach to Treat Complex Acetabular Fractures with Quadrilateral Plate Involvement: Outcomes Using a Novel Dynamic Anterior Plate\u2013Screw System"],"prefix":"10.1111","volume":"12","author":[{"given":"Haiyang","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery General Hospital of Central Theater Command, Wuhan Clinical Medicine College of Southern Medical University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranran","family":"Shang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery General Hospital of Central Theater Command  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0593-1077","authenticated-orcid":false,"given":"Xianhua","family":"Cai","sequence":"additional","affiliation":[{"name":"General Hospital of Central Theater Command Wuhan Clinical Medicine College of Southern Medical University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ximing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery General Hospital of Central Theater Command  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengjing","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery General Hospital of Central Theater Command  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanzhao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery General Hospital of Central Theater Command  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196446080-00001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3225-0"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.10.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(15)70003-3"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2883-7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000027"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.08.009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200403000-00009"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.11.002"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02413-7"},{"key":"e_1_2_7_12_1","first-page":"102","article-title":"Quadrilateral plate fractures of the acetabulum treated by internal fixation with reconstruction titanium plate combined with trans\u2010plate quadrilateral screws via the ilioinguinal approach","volume":"15","author":"Cai XH","year":"2013","journal-title":"Chin J Orthop Trauma"},{"key":"e_1_2_7_13_1","first-page":"81","article-title":"Acetabulum fractures: classification and management","volume":"151","author":"Letournel E","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199307000-00009"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199611000-00002"},{"key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/00003086-198604000-00030","article-title":"Fractures of the acetabulum. 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