Şahin İsmail G, Can Fatih I, Gültaç Emre, Kilinc Rabia M, Aydoğan Nevres H, Kilinc Cem Y
Orthopedics and Traumatology, Muğla Sıtkı Koçman Training and Research Hospital, Muğla, TUR.
Orthopedics and Traumatology, Muğla Sıtkı Koçman University, Muğla, TUR.
Cureus. 2023 Oct 26;15(10):e47770. doi: 10.7759/cureus.47770. eCollection 2023 Oct.
Introduction The objective of this study was to describe the modified Stoppa approach for anterior wall fracture fixation and to present our radiological and functional results of this approach. Materials and methods Between April 2013 and December 2019, 256 acetabular fractures operated with the modified Stoppa approach in our clinic were retrospectively reviewed, and 11 patients who were operated for anterior acetabular wall fractures with at least two years of follow-up were included in the study. Results The median amount of bleeding during surgery was found to be 450 ml (200-800), and the median operation time was 120 minutes (90-180). The modified Merle d'Aubigné and Postel Hip Score (MDS), modified Harris Hip Score (HHS), Matta's Reduction Criteria (MRC), and Kellgren-Lawrence Classification (KLC) outcomes are similar to the anterior surgical approach. Conclusion We suggest that the modified Stoppa approach can be safely used in the surgical treatment of isolated anterior acetabular fractures due to its short operative duration, low amount of bleeding, low complication rate, and favorable radiological and clinical results. The modified Stoppa procedure is a considerable alternative to the ilioinguinal approach in anterior acetabular fractures.
引言 本研究的目的是描述改良Stoppa入路用于髋臼前壁骨折固定，并展示该入路的影像学和功能结果。材料与方法 回顾性分析2013年4月至2019年12月期间在我院采用改良Stoppa入路进行手术的256例髋臼骨折患者，纳入11例接受髋臼前壁骨折手术且随访至少两年的患者进行研究。结果 术中出血中位数为450 ml（200 - 800），手术时间中位数为120分钟（90 - 180）。改良的Merle d'Aubigné和Postel髋关节评分（MDS）、改良Harris髋关节评分（HHS）、Matta复位标准（MRC）以及Kellgren-Lawrence分级（KLC）结果与前路手术方法相似。结论 我们认为改良Stoppa入路因其手术时间短、出血量少、并发症发生率低以及良好的影像学和临床结果，可安全用于孤立性髋臼前壁骨折的手术治疗。改良Stoppa手术是髋臼前壁骨折髂腹股沟入路的一个相当不错的替代方法。
