{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:43:54Z","timestamp":1785491034364,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T00:00:00Z","timestamp":1638662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the radiological and clinical outcomes of the surgical treatment for transverse and posterior wall fractures using single\u2010column posterior fixation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2009 to January 2018, a total of 24 patients with transverse and posterior wall acetabular fractures in our center were included in this retrospective study, including 17 males and seven females with a mean age of 47\u2009years and a minimum follow\u2010up of 1\u2009year. All cases were closed fractures. All fractures were fixed with single\u2010column fixation <jats:italic>via<\/jats:italic> the Kocher\u2013Langenbeck approach. Primary outcome measures, including quality of reduction and clinical outcomes, were recorded by an independent observer, who also noted secondary outcome measures, including time to surgery, surgical time, intraoperative blood loss, and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010four patients (range, 26\u201374\u2009years) included 17 males and seven females. There were 14 cases on the left side and 10 cases on the right side. The mean time from injury to surgery was 7.1\u2009days. Mean intraoperative blood loss and surgical time were 405.4\u2009mL and 135.8\u2009min, respectively. The mean follow\u2010up time was 29.5\u2009months (range 12\u201396\u2009months). All the acetabular fractures united within 5\u2009months after surgery. The quality of reduction was graded as anatomical in 17 cases (70.8%), imperfect in three cases (12.5%), and poor in four cases (16.7%). According to grading system of Merle d\u2019 Aubigne and Postel, clinical outcomes at the final follow\u2010up were excellent in 10 cases (41.7%), good in six cases (25.0%), fair in five cases (20.5%), and poor in three cases (12.5%). The excellent and good rate was 66.7%. There was a significant relation between the quality of reduction and clinical outcomes (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). At follow\u2010up, there were one case of sciatic nerve injury, one case of wound infection, two cases of deep vein thrombosis, two cases of avascular necrosis, three cases of heterotopic ossification, and five cases of postoperative traumatic arthritis. Three of these patients underwent reoperation, including one with heterotopic ossification affecting hip movement and two with femoral head necrosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study shows that single\u2010column posterior fixation of transverse and posterior wall acetabular fracture through the Kocher\u2013Langenbeck approach can obtain satisfactory radiological and clinical outcomes if there is adequate indirect reduction of the anterior column.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12968","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T07:20:32Z","timestamp":1638775232000},"page":"65-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Short\u2010 and Mid\u2010term Follow\u2010Up of Single\u2010Column Fixation in Transverse and Posterior Wall Acetabular Fractures"],"prefix":"10.1111","volume":"14","author":[{"given":"Yun","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiachen","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1470-5805","authenticated-orcid":false,"given":"Zhou","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,5]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"81","article-title":"Acetabulum fractures: classification and 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