Supra-Pectineal QLS Plating Vs Infra-pectineal Plating in Management of Quadrilateral Plate Fractures

Ain Shams University

Status: Active, not recruiting

Conditions: Evaluation of QL Buttress Plating in QLP Fracture Fixation

Treatments: Procedure: suprapectineal quadrilateral buttress plating; Procedure: Infra-pectineal plating

Study type: Interventional

Funder types: Other

Identifiers

NCT06440590

FMASU R66/2023

Details and patient eligibility

About

The investigators conducted such a prospective randomized controlled study aiming to reach a satisfactory outcome and to compare supra-pectineal QL buttress plating versus infra-pectineal for management of anterior column with or without posterior hemi-transverse component and quadrilateral plate involvement.

Full description

Our hypothesis was that supra-pectineal quadrilateral buttress plating provides much more rigid fixation and a strong buttress for medial wall migration, also it could correlate with a better functional and radiological outcome. However, there is a lack of knowledge in the prospective assessment of functional and radiological outcomes and follow up of postoperative complications of supra-pectineal quadrilateral buttress plating versus infra-pectineal plating in fixation of QLS and to our knowledge, it will be the first study to include such measures of outcome together in a prospective randomized fashion.

Enrollment: 30 patients

Sex: All

Ages: 16 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Anterior column fracture acetabulum with QLS involvement
• Anterior column posterior hemi-transverse fracture acetabulum with QLS involvement
• Age between 16-60 years' old

Exclusion criteria

• Open fractures
• Associated pelvic ring injuries that require intervention
• Associated internal organ injuries that require intervention
• Age less than 14 years and older than 60 years

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

supra-pectineal quadrilateral buttress plating

Active Comparator group

Description:

Patients treated by supra-pectineal quadrilateral buttress plating through anterior intrapelvic approach

Treatment:

Procedure: suprapectineal quadrilateral buttress plating

Infrapectineal plating

Active Comparator group

Description:

Patients treated by infra-pectineal conventional plating applied on the medial wall through anterior intrapelvic approach

Treatment:

Procedure: Infra-pectineal plating