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Newly modified Stoppa approach for acetabular fractures.
1Department of Orthopedics, Union Hospital, Tongji Medical College, University of Science and Technology, Wuhan, China.
International Orthopaedics
|May 18, 2013
Summary
A modified Stoppa approach combined with a lateral iliac crest approach offers excellent visualization for acetabular fracture reduction and fixation, achieving 96% satisfactory outcomes with minimal complications.
Area of Science:
- Orthopedic surgery
- Trauma surgery
- Skeletal reconstruction
Background:
- Acetabular fractures pose significant challenges in orthopedic trauma.
- Optimal surgical approaches are crucial for fracture reduction and long-term outcomes.
- The Stoppa approach is a recognized method for anterior pelvic access.
Purpose of the Study:
- To evaluate a newly modified Stoppa approach combined with a lateral iliac crest approach for acetabular fractures.
- To assess fracture reduction, fixation, technical aspects, and complication rates.
- To compare this technique with existing methods for anterior acetabular exposure.
Main Methods:
- A consecutive series of 29 adult patients with acetabular fractures were treated operatively.
- The modified Stoppa approach was used for anterior displacement and pelvic fixation.
- A lateral iliac crest approach was added for iliac wing fractures.
Main Results:
- Follow-up averaged over 1.5 years.
- Anatomic or satisfactory reduction was achieved in 96% of acetabular fractures.
- Average operative time was 155 minutes with 950 mL blood loss; two patients experienced transient lateral femoral cutaneous nerve symptoms.
Conclusions:
- The modified Stoppa approach provides excellent visualization of the anterior column and quadrilateral surface.
- This technique facilitates good postoperative results for acetabular fracture treatment.
- It is a viable alternative to the ilioinguinal approach for anterior acetabular exposure.
