{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T23:50:03Z","timestamp":1777161003282,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T00:00:00Z","timestamp":1643500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003482","name":"Department of Education of Hebei Province","doi-asserted-by":"publisher","award":["CXZZBS2021070"],"award-info":[{"award-number":["CXZZBS2021070"]}],"id":[{"id":"10.13039\/501100003482","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82072523"],"award-info":[{"award-number":["82072523"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The treatment methods for posterior wall (PW) in both\u2010column acetabular fractures are controversial. The purpose of this study was to compare reduction quality, clinical outcomes, and complications of nonfixation for posterior wall fragment and plating via the Kocher\u2013Langenbeck (KL) approach after anterior surgical procedures in both\u2010column acetabular fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010nine patients with both\u2010column acetabular fractures associated with PW fixed <jats:italic>via<\/jats:italic> iliac fossa and Stoppa approaches from October 2012 to October 2017 were recruited into this study and were divided into two groups: Nonfix group (nonfixation for PW) and KL group (PW plating through the KL approach). Operation duration, intraoperative blood loss, reduction quality, fracture healing, and relevant complications of patients were reviewed. Merle d'Aubign\u00e9 scores were used for assessing functional outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean blood loss and operation durations were lower in Nonfix group than in KL group (both <jats:italic>p\u2009&lt;<\/jats:italic>\u00a00.05). The mean hospital stay durations were (18.54\u2009\u00b1\u20096.42) days and (21.17\u2009\u00b1\u20097.32) days in groups Nonfix and KL, respectively (<jats:italic>p<\/jats:italic>\u00a0=\u20090.186). All fractures healed well with no significant difference in union time between the two groups (<jats:italic>p<\/jats:italic>\u00a0=\u20090.210). The rates of satisfactory reduction were 84.62% (22\/26) in Nonfix group and 86.96% (20\/23) in KL group (<jats:italic>p<\/jats:italic>\u00a0=\u20091.000). The mean Merle d'Aubign\u00e9 scores were 15.62\u2009\u00b1\u20092.28 in Nonfix group and 16.17\u2009\u00b1\u20092.19 in KL group (<jats:italic>p<\/jats:italic>\u00a0=\u20090.388). The complication rates were 7.69% (2\/26) in Nonfix group and 34.78% (8\/23) in KL group (<jats:italic>p<\/jats:italic>\u00a0=\u20090.046).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For both\u2010column acetabular fractures associated with PW fragment, although fixation of PW was not performed after anterior surgical procedures, satisfactory outcomes could also be obtained. However, nonfixation was a less invasive choice with a lower complication rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13215","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T06:03:59Z","timestamp":1643609039000},"page":"513-521","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Is Plating Fixation Through the <scp>Kocher\u2013Langenbeck<\/scp> Approach for Associated Posterior Wall Fragment Indispensable in Both\u2010Column Acetabular Fractures?"],"prefix":"10.1111","volume":"14","author":[{"given":"Siyu","family":"Tian","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruipeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaobo","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Pelvic and Acetabular Surgery Honghui Hospital, Xi'an Jiaotong University  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingchao","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8584-3370","authenticated-orcid":false,"given":"Lijie","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guodong","family":"Liu","sequence":"additional","affiliation":[{"name":"Eighth Department, State Key Laboratory of Trauma, Burns and Combined Injuries, Research Institute of Surgery, Daping Hospital Army Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodong","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Union Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5838-4025","authenticated-orcid":false,"given":"Zhiyong","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"},{"name":"Key Laboratory of Biomechanics of Hebei Province  Shijiazhuang China"},{"name":"NHC Key Laboratory of Intelligent Orthopaedic Equipment  Shijiazhuang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000354"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.01427"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.05.035"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-018-2953-6"},{"key":"e_1_2_5_6_1","first-page":"81","article-title":"Acetabulum fractures: classification and management","author":"Letournel E","year":"1980","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-013-1200-7"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196446080-00001"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.10.066"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.55095\/achot2012\/015","article-title":"Both column fractures of the acetabulum: epidemiology, operative management and long\u2010term\u2010results","volume":"79","author":"G\u00e4nsslen A","year":"2012","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2020.02.019"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02850-9"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000724"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-08724-1"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001303"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181830d2a"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/11207000100200s702"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13051"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001527"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199611000-00002"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12741"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2622-0"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20161006-01"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-56838-5"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00284"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-01301"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198911000-00007"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3415-4"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1076029619845066"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200205000-00002"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13215","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T11:09:06Z","timestamp":1693134546000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,30]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/os.13215"],"URL":"https:\/\/doi.org\/10.1111\/os.13215","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,30]]},"assertion":[{"value":"2021-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}