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The Quadrilateral Plate in Acetabular Fracture Surgery: What Is It and When Should It Be Addressed?

J Am Acad Orthop Surg

February 2021

From the Northwestern Memorial Hospital-Department of Orthopedic Surgery (Butler and Stover), Chicago, IL, and Carolinas Medical Center (Dr. Sims), CMC Orthopaedic Surgery, Charlotte, NC.

The quadrilateral plate (QP) is the relatively flat surface of bone in the true pelvis lying directly medial to the acetabulum. This surface is frequently involved in acetabular fractures. Elderly individuals, in particular, commonly sustain anterior column fractures with incomplete or complete posterior hemitransverse fracture lines with associated QP comminution.

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