Modified Stoppa approach for treatment of acetabular fractures

Objectives: The purpose of this work was to assess the clinical and imaging outcomes modified Stoppa technique for surgical management acetabular fractures.Methods: Between September 2019 November 2021, twenty-one individuals (mean age 39.09 years; range 18–64) who received therapy fractures with participated in research. average follow-up period 12.95 months, a 6 24. data were examined perioperative difficulties, loss blood, effectiveness reductions, patterns, time surgery operation time. There three levels reduction quality: poor, imperfect, anatomic. functional assessment done using Merle d' Aubigne score.Results: Among 21 acetabulum fractures, 10 associated both columns, 5 anterior column, 3 T-type 2 transverse one case column/posterior hemitransverse. Incisions along pfannenstiel utilized 9 patients vertical midline incisions other twelve. In 18 (85%) individuals, supplementary lateral windows employed, an duration until 7.8 days. typical blood during 780 mL, procedure took 239 minutes. 14 (66.6%), (25.8%), 1 (5%) acetabulum, respectively, radiological results anatomic, satisfactory, poor. According D’Aubigne scores, fifteen out (71.4%) regained their pre-injury activity level. Seven participants excellent while eight good. Four fair two result significantly affected by occupation lag. All seen be united radiographically six months after surgery. No cases redisplacement detected. no instances delayed union or nonunion existed. Heterotopic ossification observed. Matta scoring, seven (33.33%), nine good (42.8%) (9.5%) poor (14.2%).On studying complications, we had vascular sciatic nerve injury five paresthesia cutaneous nerve. Five developed postoperative infection. Only them results.Conclusion: Despite being technically demanding, research demonstrate that Rives-Stoppa technique, when used treating usually satisfactory reduction. Additionally, it provides outstanding accessibility visibility posterior quadrilateral surface, corona mortis. This method avoids need inguinal canal femoral neurovascular bundle dissection repair