Guo Hong-Zhang, He Yu-Fang, He Wan-Qing
Department of Orthopaedics, Gansu Provincial Hospital of TCM, Lanzhou, China.
The Third Hospital of Gansu Province, Lanzhou, China.
Acta Ortop Bras. 2019 Jul-Aug;27(4):216-219. doi: 10.1590/1413-785220192704188933.
A retrospective review aims to investigate the operative methods and therapeutic effects of the modified Stoppa approach for treating pelvic and acetabular fractures.
18 patients with acetabular fracture of the anterior column and pelvic anterior ring fracture underwent surgical treatment using the modified Stoppa approach. Some of the treatment was combined with the iliac fossa approach or rear K-L approach. Fracture reduction and postoperative function were evaluated using the Matta scoring standard and the Majeed scoring system. The Oxford Centre for Evidence-Based Medicine system was used to grade the literature review and create graded B recommendations.
Incision length was 6-12 cm (mean, 10 cm), operative duration was 50-150 minutes (mean, 85 minutes), and intraoperative blood loss volume was 400-1,000 ml (mean, 500 ml). 18 patients were followed up for 12-36 months post-operation. In the results of X-ray films, 12 cases were anatomical reductions and the remaining cases were satisfactory reductions. According to Majeed standard, 13 patients were excellent and five patients were good.
Treatment using the modified Stoppa approach was suitable for anterior approaches, in which pelvic and acetabular fractures were sufficiently exposed, the fracture was conveniently reduced, less complications occurred, and curative effect was satisfactory.
回顾性研究改良Stoppa入路治疗骨盆与髋臼骨折的手术方法及疗效。
18例髋臼前柱骨折合并骨盆前环骨折患者采用改良Stoppa入路手术治疗，部分加用髂窝入路或后侧K-L入路。采用Matta评分标准及Majeed评分系统评估骨折复位及术后功能。运用牛津循证医学中心系统对文献回顾进行分级并给出B级推荐。
切口长度6～12 cm（平均10 cm），手术时间50～150分钟（平均85分钟），术中出血量400～1000 ml（平均500 ml）。18例患者术后随访12～36个月。X线片结果显示，解剖复位12例，其余复位满意。按Majeed标准，优13例，良5例。
改良Stoppa入路治疗适合前方入路，能充分显露骨盆与髋臼骨折，便于骨折复位，并发症少，疗效满意。
