Zhou XF, Gu SC, Zhu WB, Yang JZ, Xu L, Fang SY. Quadrilateral plate fractures of the acetabulum: Classification, approach, implant therapy and related research progress. World J Clin Cases 2022; 10(2): 412-425 [PMID: 35097066 DOI: 10.12998/wjcc.v10.i2.412]
Corresponding Author of This Article
Shi-Yuan Fang, PhD, Doctor, Department of Orthopedics, The First Affiliated Hospital of University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230000, Anhui Province, China. fangshiyuan2008@126.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xue-Feng Zhou, Si-Chao Gu, Wan-Bo Zhu, Jia-Zhao Yang, Shi-Yuan Fang, Department of Orthopedics, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, Anhui Province, China
Xue-Feng Zhou, Graduate School, Wannan Medical College, Wuhu 241000, Anhui Province, China
Lei Xu, Department of Traumatic Orthopedics, The First Affiliated Hospital of USTC, Hefei 230001, Anhui Province, China
Author contributions: Zhou XF designed, drafted, revised, submitted the manuscript and generated all the figures and tables; Gu SC designed the outline and drafted the manuscript; Zhu WB, Yang JZ and Xu L designed the outline and discussed and revised the article; Fang SY performed literature research, discussed the manuscript and coordinated the writing of the paper; all authors read and approved the final manuscript.
Conflict-of-interest statement: The authors declare they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shi-Yuan Fang, PhD, Doctor, Department of Orthopedics, The First Affiliated Hospital of University of Science and Technology of China, No. 17 Lujiang Road, Hefei 230000, Anhui Province, China. fangshiyuan2008@126.com
Received: April 28, 2021 Peer-review started: April 28, 2021 First decision: July 15, 2021 Revised: July 29, 2021 Accepted: December 2, 2021 Article in press: December 2, 2021 Published online: January 14, 2022 Processing time: 258 Days and 18.3 Hours
Abstract
The quadrilateral plate (QP) is an essential structure of the inner wall of the acetabulum, an important weight-bearing joint of the human body, which is often involved in acetabular fractures. The operative exposure, reduction and fixation of QP fractures have always been the difficulties in orthopedics due to the special morphological structure and anatomical features of the QP. Fortunately, there have been many effective methods and instruments developed for QP exposure, reduction and fixation by virtue of the combined efforts of numerous orthopedists. At the same time, each method presents with its own advantages and disadvantages, resulting in different prognoses. It is necessary to have a thorough understanding of the anatomy, radiology and fixation techniques of the QP in terms of patient prognosis optimization. In this paper, the anatomical features, definition and classification of QP, operative approach selection, implant internal fixation methods and efficacy were reviewed.
Core Tip: There has always been lack of a unified definition, a specialized fracture classification system, and absolutely superior operative approaches and implant internal fixation techniques for quadrilateral plate (QP) fractures, so the most appropriate open reduction and fixation strategies have been controversial and no consensus has been reached yet. In this paper, the above-mentioned contents about QP fractures of the acetabulum were reviewed for better grasping the history, current situation and future development of QP fractures.
