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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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The Stoppa approach for acetabular fracture.

A Khoury1, Y Weill, R Mosheiff

  • 1Department of Kerem, Hadassah-Hebrew University Medical Center, PO Box 12000, 91120, Jerusalem, Israel. akhoury@hadassah.org.il

Operative Orthopadie Und Traumatologie
|September 14, 2012
PubMed
Summary

The modified Stoppa approach is effective for most acetabular fractures, offering good outcomes. This surgical technique is suitable for anterior column fractures but excludes those with significant posterior involvement.

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Area of Science:

  • Orthopedic surgery
  • Trauma surgery
  • Pelvic fracture management

Background:

  • Acetabular fractures present significant surgical challenges.
  • The Stoppa approach offers a viable surgical option for complex pelvic injuries.

Purpose of the Study:

  • To evaluate the efficacy of the modified Stoppa approach for acetabular fractures.
  • To detail the surgical technique, indications, and outcomes of the modified Stoppa approach.

Main Methods:

  • A 5-year review of 60 acetabular fractures treated with the modified Stoppa approach.
  • Surgical technique involves a suprapubic, intrapelvic approach with potential iliac window extension.

Main Results:

  • The modified Stoppa approach was used for various acetabular fracture patterns, primarily anterior column involvement.
  • Good fracture healing (within 12 weeks) and functional outcomes (mean Merle d'Aubigné score 15.22) were observed.
  • Anatomical or satisfactory reduction was achieved in 97% of patients, with 15 minor/major complications.

Conclusions:

  • The modified Stoppa approach is adequate for the majority of acetabular fractures, excluding those with predominant posterior wall involvement.
  • The technique, including iliac window extension, provides good functional and radiological outcomes.