DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20185343

Functional outcome of acetabular fracture fixation by modified Stoppa’s approach

Rahul Kadam, Preetam Singh Dagar, Abhay Challani, Ashutosh Jadhav, Jehangir Pestonji

Abstract


Background: We analysed the clinical and functional outcome of acetabular fracture treated by Modified Stoppa approach. In this study, we also analysis Intraoperative and post-complications of fractures treated by the modified Stoppa apprpoach.

Methods: All of the, 20 patients  who needed the anterior approach for the treatment of acetabular fracture at our hospital  from May 2016 To May 2018, were subjected to surgery via modified Stoppa approach. Pre-operative Anterior posterior (AP) view and Judet and CT scan were done to classify the fracture. Functional  outcome was assessed by using the  modified  Merle D’ Aubigne  Postel clinical grading system, radiological outcome by Matta et al and perioperative complication were assessed by retrospectively analyzing medical records and radiographics examination.

Results: The clinical results were excellent in 12 cases , very  good  2 in  cases  and  good in  1 cases , fair in 1 case and  poor in 4  cases. Athough the radiological 12 cases had anatomical reduction, 5 imperfect reduction and 3 poor reduction.

Conclusions: It can be concluded that the modified Stoppa approach could be used as an alternative to the ilioinguinal approach. It’s provides excellent access and visulaistion to the anterior column and quadrilateral surface and the rates of complication were less as compare to ilioinguinal approach.


Keywords


Modified Stoppa approach, Ilioinguinal approach, Judet view

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References


Letournel E. Acetabular fracture; classification and management. Clinc Orthop. 1980;151:81-106.

Letournel E. The treatment of acetabular fracture through the ilioinguinal approach. Clinc Orthop Realt Res. 1993;(292);62–76.

Matta JM. Fraxture of the acetabular; accuracy of reduction and clinical results in patients managed operatively within and clinical results in patients managed operatively within 3 weeks after the injury. 1996;78(11):1632-45.

Min BU, Nam SY, Kang CS. Complication of surgical treatment in patients with acetabular fractures. J Korean Hip Soc. 2000;12(3);253-60.

Kim HY, Yang DS, Park CY, Choy WS. Newly modified Stoppa approach for acetabulum fracture .International orthopaedics (springer). 2013;37;1347-53.

Rives J, Stoppa R, Fortesa L, Nicaise H. Dacron patches and their place in surgery of groin hernia: 65cases collected from a complete series of 274 hernia operations. Ann Chir. 1968;22(3):159-71.

Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe, Delattre JF. The use of Dacron in the repair of hernia of the groin. Surg Clinc North Am. 1984;64(2):269-85.

Hirvensalo E, Lindahl J, Kiljunen V. Modified and new approaches for pelvic and acetabulum surgery. Injury. 2007;38(4):431-41.

Cole JD, Bolhofner BR. Acetabular fracture fixation via modified Stoppa approach limited intrapelvic approach . Description of operative technique and preliminary treatments results. Clinc orthop Relat Res. 1994;(305):112-23.

Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg. 1989;13;545-54.

Court-Brown CM, Heckman JD, McQuen MM, Ricci WM, Tornetta III P, Mckee MD. Rockwood and Green. Volume 1. Edition 8. Chapter 32. 1065-1067.

Jakob M, Droeser R, Zobrist R, Messmer MA, Regazzoni P. A less invasive anterior intrapelvic approach for the treatment of acetabulum fracture and pelvic injuries. J Trauma. 2006;60(6);1364-70.

Sagi HC, Afsari A, Dziadosz D. The anterior intra pelvic (modified Rives Stoppa) approach for fixation of acetabulum fracture. J orthop trauma 2010;24(5):263-70.

Kim HY, Yang DS, Park CK, Choy WS. Modified Stoppa approach for surgicial treatment of acetabulum fracture. Clin Orthopaedics Surg. 2015;7:29-38.

Cole JD, Bolhofner BR. Acetabular fracture fixation via a modified stoppa limited intra pelvic approach; description pf operative technique and preliminary treatments results. Clinc orthops Relat Res. 1994;305;112-23.

Letournel E, Judet R. Fractures of the acetabulum. Berlin Springer – Verlag; 1974.