{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:13:58Z","timestamp":1784787238630,"version":"3.55.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Posterior wall acetabular fractures with comminution present fixation challenges, as conventional buttress plating may be insufficient to maintain articular congruity. Spring plate augmentation has been proposed to improve fragment-specific stability, but prospective clinical evidence remains limited.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n This prospective cohort study evaluated clinical, radiological, and functional outcomes of spring plate-assisted fixation in posterior wall acetabular fractures in 60 patients treated between 2017 and 2023, with a minimum follow-up of 2 years. All fractures were managed via the Kocher\u2013Langenbeck approach using spring plate augmentation combined with a reconstruction plate in buttress configuration. Functional outcomes were assessed using the modified Merle d\u2019Aubign\u00e9 and Postel (mMDP) score, whereas radiological outcomes were evaluated using Matta\u2019s reduction criteria and radiological grading.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Anatomical reduction was achieved in 81.7% of the patients. At the final follow-up, 91.7% demonstrated satisfactory (excellent or good) radiological outcomes. Functional outcomes improved significantly over time, with a mean mMDP score of 16.4 at 2 years (\n P<\/jats:italic>\n < 0.001), and 86.7% of patients achieved satisfactory functional results. Anatomical reduction was strongly associated with superior functional outcomes (\n P<\/jats:italic>\n = 0.011). Posttraumatic arthritis occurred in 8.3% of patients, and 3.3% required conversion to total hip arthroplasty.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Spring plate augmentation combined with buttress plating provides reliable fixation for posterior wall acetabular fractures, favorable hip function, and low mid-term arthroplasty conversion rates.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_354_26","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:00:17Z","timestamp":1784786417000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and Radiological Outcomes of Spring Plate Augmentation in Posterior Wall Acetabular Fractures: A Prospective Cohort Study"],"prefix":"10.4103","author":[{"given":"Dharmendra","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankur","family":"Maan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujeet Kumar","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit","family":"Sriwastava","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravindra","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,23]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/aam.aam_354_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:00:18Z","timestamp":1784786418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/aam.aam_354_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_354_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"assertion":[{"value":"2026-03-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}