Concerns Regarding the Sufficiency of Isolated Buttress Plating in the Management of Posterior Wall Acetabular Fractures: Letter to the Editor



Department of Orthopedics, JPNATC, AIIMS, New Delhi, India


We read the recently published article [1] in your journal with great interest. This study has compared the efficacy of isolated buttress plate fixation with the combination of intra-wall/ lag screw and buttress plate in the surgical management of posterior wall acetabular fractures. The authors have highlighted the advantage of avoiding inadvertent intraarticular screw penetration and have also shown comparable outcomes with the use of isolated buttress plate.
As the reader, we would like to put forward some concerns based on the study analysis.


1. Firoozabadi R, Chen EY, Elhaddad M, Tornetta III P.
Isolated Buttress Plating of Posterior Wall Acetabular
Fractures: Is it Sufficient? Archives of Bone and Joint
Surgery. 2020; 8(4):511.
2. Moed BR, WillsonCarr SE, Watson JT. Results of
operative treatment of fractures of the posterior wall
of the acetabulum. JBJS. 2002; 84(5):752-8.
3. Wu X. A biomechanical comparison of different
fixation techniques for fractures of the acetabular
posterior wall. International orthopaedics. 2018;
4. Pease F, Ward AJ, Stevenson AJ, Cunningham JL,
Sabri O, Acharya M, et al. Posterior wall acetabular
fracture fixation: A mechanical analysis of fixation
methods. Journal of Orthopaedic Surgery. 2019;