Outcome for Patients with Acetabular Fractures Treated Using Only Modified Stoppa Approach or in Combination with...

Area of Science:

• Orthopedic Surgery
• Trauma Surgery

Background:

• Acetabular fractures in polytrauma patients are associated with high-energy impact.
• These fractures can lead to severe post-traumatic osteoarthritis (PTOA) and necessitate hip replacement.

Purpose of the Study:

• To evaluate the outcomes of polytrauma patients with acetabular fractures treated with the modified Stoppa approach, alone or combined with the iliac wing approach.
• To compare these outcomes with those achieved using the ilioinguinal approach.

Main Methods:

• Retrospective study of 42 polytrauma patients with acetabular fractures treated between 2008-2018.
• Fracture reduction and outcomes assessed using the Majeed score.
• Analysis of hip replacements due to PTOA.

Main Results:

• 92% of acetabular fractures achieved anatomical or satisfactory healing.
• The modified Stoppa group showed significantly better Majeed scores (p<0.05).
• Seven patients required hip replacement due to PTOA; outcomes varied based on reduction quality.

Conclusions:

• The modified Stoppa approach and its combination with the iliac wing approach yield good radiological and functional results.
• These techniques may decrease the risk of severe PTOA and hip replacement in polytrauma patients.
• Unsatisfactory fracture reduction is a strong predictor of symptomatic PTOA requiring total hip arthroplasty.