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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...
Spanning Openings in Brick Walls01:20

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In brick wall construction, supporting structures are crucial for openings like windows and doors to maintain the integrity and support the weight of the wall above. These supports include lintels, corbels, and arches, each serving specific structural purposes.
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...

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Related Experiment Video

Updated: Jun 3, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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Modified Stoppa Approach Alone or in Combination with a Lateral Window for Acetabular Fractures Involving Both

Bhagwan Prasad Meena1, Anurag Dhakar1, Umesh Kumar Meena1

  • 1Department of Orthopaedics, SMS Medical College, Jaipur, India.

Hip & Pelvis
|September 1, 2025
PubMed
Summary
This summary is machine-generated.

The modified Stoppa approach (MSA) offers satisfactory short-term outcomes for select acetabular fractures involving both columns. This surgical technique can achieve good reduction and functional results, though expertise in multiple approaches is recommended.

Keywords:
Anterior intra pelvic approachBoth-column fractureMatta scoreMerle d’Aubigné scoreModified Stoppa approach

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Skeletal Reconstruction

Background:

  • Complex acetabular fractures often necessitate dual surgical approaches (anterior and posterior).
  • The modified Stoppa approach (MSA) is an alternative for treating these challenging injuries, sometimes combined with other techniques.

Purpose of the Study:

  • To evaluate the clinical and radiological outcomes of acetabular both-column fractures treated with the modified Stoppa approach (MSA).
  • To investigate the effectiveness of MSA, alone or in combination, for complex acetabular fracture management.

Main Methods:

  • Retrospective review of 41 patients with acetabular fractures treated using MSA.
  • Assessment included immediate postoperative reduction quality, and clinical, radiological, and functional outcomes at a minimum one-year follow-up.

Main Results:

  • Anatomical reduction was achieved in 78.0% of cases.
  • At one year, excellent radiological (78.0%), clinical (51.2%), and functional (73.2%) outcomes were reported.
  • The most common fracture pattern was anterior column with posterior hemi-transverse (AC with PHT).

Conclusions:

  • The MSA can provide satisfactory short-term results for specific acetabular fractures involving both anterior and posterior columns.
  • Pelvi-acetabular surgeons should possess expertise in various surgical approaches, including the MSA.