Subscribe to RSS
DOI: 10.1055/s-0044-1785506
Stoppa Intrapelvic Approach Provides Good Functional Clinical Outcomes: Prospective Study with a Minimum Follow-up of One Year and Comparison with the Literature
Article in several languages: português | English Financial Support The authors declare that they did not receive funding from agencies in the public, private, or not-for-profit sectors for the conduction of the present study.
Abstract
Objective To describe the clinical and radiographic outcomes of a cohort of patients with acetabular fractures treated with the modified Stoppa approach.
Methods We conducted a prospective analysis of adult patients with acetabular fractures treated using the modified Stoppa approach from June 2020 to June 2021, with a minimum follow-up period of 12 months. The analysis included demographic, epidemiological, and perioperative data, as well as postoperative radiographic and functional outcomes.
Results The study included 15 cases, with 14 men (93.3%) and 1 woman (6.67%). A postoperative tomographic evaluation revealed an anatomical reduction in 50%, an imperfect reduction in 13.6%, and a poor reduction in 36.4% of the subjects. Regarding the functional scores, the Harris Hip Score ranged from 56 to 100, with a mean value of 92.5. The Majeed Pelvic Score classified the functional outcome as excellent in 36.5%, good in 40.6%, moderate in 18.7%, and poor in 4.2% of the cases.
Conclusion The present case series study demonstrated positive statistical relevance between reduction quality and functional outcomes and between the time until surgery and the reduction quality. The functional outcomes at a one-year of follow-up demonstrate that this approach can be an excellent alternative for anterior acetabulum fractures.
Work developed at the Orthopedics and Traumatology Department, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Publication History
Received: 29 September 2022
Accepted: 18 January 2023
Article published online:
22 June 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. preliminary report. J Bone Joint Surg Am 1964; 46: 1615-1646
- 2 Letournel E, Judet R. Fractures of the Acetabulum. 2nd ed.. New York, NY: Springer-Verlag; 1993
- 3 Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 1996; 78 (11) 1632-1645
- 4 Kilinc CY, Acan AE, Gultac E, Kilinc RM, Hapa O, Aydogan NH. Treatment results for acetabulum fractures using the modified Stoppa approach. Acta Orthop Traumatol Turc 2019; 53 (01) 6-14
- 5 Liu Y, Yang H, Li X, Yang SH, Lin JH. Newly modified Stoppa approach for acetabular fractures. Int Orthop 2013; 37 (07) 1347-1353
- 6 Yao S, Chen K, Ji Y. et al. Supra-ilioinguinal versus modified Stoppa approach in the treatment of acetabular fractures: reduction quality and early clinical results of a retrospective study. J Orthop Surg Res 2019; 14 (01) 364
- 7 Meena S, Sharma PK, Mittal S, Sharma J, Chowdhury B. Modified Stoppa Approach versus Ilioinguinal Approach for Anterior Acetabular Fractures; A Systematic Review and Meta-Analysis. Bull Emerg Trauma 2017; 5 (01) 6-12
- 8 Guo HZ, He YF, He WQ. Modified stoppa approach for pelvic and acetabular fracture treatment. Acta Ortop Bras 2019; 27 (04) 216-219
- 9 Cole JD, Bolhofner BR. Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results. Clin Orthop Relat Res 1994; (305) 112-123
- 10 Hirvensalo E, Lindahl J, Böstman O. A new approach to the internal fixation of unstable pelvic fractures. Clin Orthop Relat Res 1993; (297) 28-32
- 11 Balbachevsky D, Pires R, Faloppa F, Reis F. Tratamento das fraturas da pelve e acetábulo pela via de Stoppa modificada. Acta Ortop Bras 2006; 14 (04) 190-192
- 12 Isaacson MJ, Taylor BC, French BG, Poka A. Treatment of acetabulum fractures through the modified Stoppa approach: strategies and outcomes. Clin Orthop Relat Res 2014; 472 (11) 3345-3352
- 13 Wang XJ, Lu Li, Zhang ZH. et al. Ilioinguinal approach versus Stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fractures: A systematic review and meta-analysis. Chin J Traumatol 2017; 20 (04) 229-234
- 14 Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 1984; 64 (02) 269-285
- 15 Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res 1980; (151) 81-106
- 16 Soni A, Gupta R, Sen R. Modified Stoppa Approach for Acetabulum Fracture: A Review. Rev Bras Ortop 2019; 54 (02) 109-117
- 17 Laflamme GY, Hebert-Davies J, Rouleau D, Benoit B, Leduc S. Internal fixation of osteopenic acetabular fractures involving the quadrilateral plate. Injury 2011; 42 (10) 1130-1134