{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:31:55Z","timestamp":1779334315956,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T00:00:00Z","timestamp":1666137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82072411"],"award-info":[{"award-number":["82072411"]}],"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":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>There has been a controversy in the surgical approach for delayed acetabular fracture. The objective of the present study is to investigate the feasibility, surgical techniques, safety, and efficacy of periacetabular osteotomy using the single lateral\u2010rectus approach (LRA) for the surgical treatment of delayed acetabular fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The retrospective study included 22 patients (16 males and six females, with an average age of 45\u2009years) with delayed acetabular fractures from June 2012 to June 2019. For all cases, periacetabular osteotomy was performed through the single LRA. Fracture classification, mechanism of injury, associated injury, time to surgery, operation time, intraoperative blood loss, and complications were recorded and analyzed. The quality of the reduction was assessed based on Matta radiographic criteria. Potential impact factors affecting the quality of reduction were analyzed. Functional outcome was evaluated at the final follow\u2010up according to a modified Mere D'Aubigne\u2010Postel scoring system for each patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were followed up for at least 12\u00a0months. The duration of surgery was 140\u2009min on average (110\u2013205\u2009min) and the mean intraoperative blood loss was 1250\u2009ml (500\u20132100\u2009ml). According to Matta radiographic criteria, the accuracy of reduction was \u201canatomical\u201d in seven patients, \u201cimperfect\u201d in 11 patients, and \u201cpoor\u201d in four patients, with an excellent and good rate of 81.8%. The time to surgery in poor reduction group was significantly longer than anatomical or imperfect reduction group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). All the acetabular fractures united after 8\u201312\u2009weeks. The average modified Merle D'Aubigne\u2010Postel score evaluated at the final follow\u2010up was 14.6 (6\u201318), and the clinical outcomes were rated as excellent in six patients, good in 10 patients, fair in four patients, and poor in two patients, with an excellent and good rate of 72.7%. There were two cases of osteonecrosis of the femoral head (9%). No other complication was found for all cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The LRA is an effective and minimally invasive approach in the treatment of delayed acetabular fractures excluding posterior wall fracture and posterior dislocation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13509","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T11:49:57Z","timestamp":1666180197000},"page":"3233-3241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of Delayed Acetabular Fractures by Periacetabular Osteotomy through the Lateral\u2010Rectus Approach"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2780-2949","authenticated-orcid":false,"given":"Haibo","family":"Xiang","sequence":"first","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"},{"name":"Department of Orthopaedic Huadu District People's Hospital of Guangzhou  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuobin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenquan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuhui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1993-6074","authenticated-orcid":false,"given":"Shicai","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Traumatic Surgery, Center for Orthopaedic Surgery The Third Affiliated Hospital of Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318269b2c3"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200101000-00003"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00444"},{"key":"e_1_2_8_5_1","first-page":"14","article-title":"Long\u2010term outcome of operative management of delayed acetabular fractures","volume":"126","author":"Zhu SW","year":"2013","journal-title":"Chin Med 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