Objective:

To report on clinical efficacy, radiological parameters, and functional recovery of internal iliosciatic fixation using standard reconstruction plates for acetabular fractures involving the posterior column, specifically focusing on postoperative outcomes and recovery timelines.

Key Findings:

• Internal iliosciatic fixation using standard reconstruction plates is a cost-effective and efficient method for treating acetabular fractures involving the posterior column, showing improved outcomes compared to traditional methods.
• The modified Stoppa approach and lateral rectus abdominis approach provided adequate exposure for fracture fixation, facilitating better surgical outcomes.
• Fracture reduction outcomes and hip joint function were assessed using the modified Matta criteria and modified Merle d’Aubigné Postel score, indicating satisfactory recovery.

Interpretation:

The study demonstrates that standard reconstruction plates can effectively stabilize acetabular fractures involving the posterior column without the need for expensive custom implants.

Limitations:

• The study is retrospective and may have inherent biases, which could affect the generalizability of the results.
• Some patients lacked standard imaging data due to limitations in local medical conditions, potentially impacting the accuracy of fracture classification.

Conclusion:

Internal iliosciatic fixation with standard reconstruction plates offers satisfactory clinical and radiographic outcomes for acetabular fractures affecting the posterior column.