Acta Chir Orthop Traumatol Cech. 2021; 88(3):191-195 | DOI: 10.55095/achot2021/030

Outcome for Patients with Acetabular Fractures Treated Using Only Modified Stoppa Approach or in Combination with Iliac Wing Approach: 10-Year ExperienceOriginal papers

A. VIKMANIS1,2, R. JAKUSONOKA1,*, A. JUMTINS1, Z. PAVARE1
1 Riga Stradins University, Department of Orthopaedics, Riga, Latvia
2 Clinical Centre "Gailezers", Department of Traumatology and Orthopaedics, Riga Eastern Clinical University Hospital, Riga, Latvia

PURPOSE OF THE STUDY:
This retrospective study presents our experience in treatment of polytrauma patients with acetabular fractures treated with only modified Stoppa approach or in combination with iliac wing approach. The purpose of this study was to evaluate the outcome of polytrauma patients with acetabular fractures operated with only modified Stoppa approach or in combination with iliac wing approach.

MATERIAL AND METHODS:
Polytrauma patients who suffered from acetabular fractures treated in our hospital during 2008-2018, operated by using only modified Stoppa or in combination with iliac wing approach, were included in the study. The patients were evaluated using Majeed score. Cases with hip replacement due to post-traumatic osteoarthritis (PTOA) were summarized. The study group was compared with control group, which was operated through ilioinguinal approach.

RESULTS:
We examined 42 patients (12 women and 30 men; mean age 44 years). Anatomical or satisfactory fracture healing was achieved in 92% of the acetabular fractures. In the study group Majeed score was significantly better (p

Keywords: acetabulum, modified Stoppa approach, iliac wing approach, post-traumatic osteoarthritis

Published: June 15, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
VIKMANIS A, JAKUSONOKA R, JUMTINS A, PAVARE Z. Outcome for Patients with Acetabular Fractures Treated Using Only Modified Stoppa Approach or in Combination with Iliac Wing Approach: 10-Year Experience. Acta Chir Orthop Traumatol Cech. 2021;88(3):191-195. doi: 10.55095/achot2021/030. PubMed PMID: 34228614.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Barla J. Acetabulum. In: Buckley RE, Moran CG, Apivatthakakul T (eds). AO principles of fracture management. 3-ed, AO Foundation, Switzerland, 2017, pp.745-770.
    2. Brouwers L, Lansink KWW, de Jongh MAC. Quality of life after pelvic ring fractures: A cross-sectional study. Injury. 2018;49:812-818. Go to original source... Go to PubMed...
    3. Castillo RC, MacKenzie EJ, Bosse MJ, LEAP Study Group. Orthopaedic trauma clinical research: is 2-year follow up necessary? Results from a longitudinal study of severe extremity trauma. J Trauma. 2011;71:1726-1731. Go to original source... Go to PubMed...
    4. Chen Z, Yang H, Wu Z, Chen G, Ou Y, Bi X, Ma Z. A combination of the modified Stoppa approach and the iliac fossa approach in treating compound acetabular fractures by using an anterior ilioischial plate. Acta Orthop Belg. 2019; 85:182-191. Go to PubMed...
    5. 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. Go to original source...
    6. Giannoudis PV. Polytrauma: pathophysiology, priorities, and management. In: Buckley RE, Moran CG, Apivatthakakul T (eds). AO principles of fracture management. 3rd ed., AO Foundation, Switzerland, 2017, pp.311-330.
    7. Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 2005;87:2-9. Go to original source...
    8. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mould arthroplasty. J Bone Joint Surg Am. 1969;51:737-755. Go to original source... Go to PubMed...
    9. Hartley BR, Roberts CS, Giannoudis PV. Current treatment and outcomes of intra-articular fractures. In: Olson S, Guilak F (eds). Post-Traumatic Arthritis: pathogenesis, diagnosis and management. Springer, New York, 2015, pp.270-272. Go to original source...
    10. Hirvensalo E, Lindahl J, Kiljunen V. Modified and new approaches for pelvic and acetabular surgery. Injury. 2007;38:431-441. Go to original source... Go to PubMed...
    11. Kabak S, Halici M, Tuncel M, Avsarogullari L, Baktir A, Basturk M. Functional outcome of open reduction and internal fixation for completely unstable pelvic ring fractures (type C): a report of 40 cases. J Orthop Trauma. 2003;17:555-562. Go to original source... Go to PubMed...
    12. 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;53:6-14. Go to original source... Go to PubMed...
    13. Majeed SA. Grading the outcome of pelvic fractures. J Bone Joint Surg Br. 1989;71:304-306. Go to original source... Go to PubMed...
    14. Matta JM, Mehne DK, Roffi R. Fractures of the acetabulum. Early results of a prospective study. Clin Orthop Relat Res. 1986;205:241-250. Go to original source...
    15. Mears DC, Velyvis JH, Chang CP. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res. 2003;407:173-186. Go to original source... Go to PubMed...
    16. Rocca G, Spina M, Mazzi M. Anterior combined endopelvic (ACE) approach for the treatment of acetabular and pelvic ring fractures: a new proposal. Injury. 2014;45:S9-S15. Go to original source... Go to PubMed...
    17. Scott CEH, MacDonald D, Moran M, White TO, Patton JT, Keating JF. Cemented total hip arthroplasty following acetabular fracture. Bone Joint J. 2017;99-B:1399-1408. Go to original source... Go to PubMed...
    18. Stibolt RD Jr, Patel HA, Huntley SR, Lehtonen EJ, Shah AB, Naranje SM. Total hip arthroplasty for posttraumatic osteoarthritis following acetabular fracture: a systematic review of characteristics, outcomes, and complications. Chin J Traumatol. 2018;21:176-181. Go to original source... Go to PubMed...
    19. Verbeek DO, Ponsen KJ, van Heijl M, Goslings JC. Modified Stoppa approach for operative treatment of acetabular fractures: 10-year experience and mid-term follow-up. Injury. 2018;49:1137-1140. Go to original source... Go to PubMed...
    20. Vikmanis A, Jakusonoka R, Jumtins A, Pavare Z. Mid-term outcome of patients with pelvic and acetabular fractures following internal fixation through a modified Stoppa approach. Acta Orthop Belg. 2013;79:660-666. Go to PubMed...
    21. Vikmanis A, Jumtins A. Internal fracture fixation using the anterior retroperitoneal lower laparotomy approach in pelvic ring and acetabular fractures: the first experience and outcomes. Acta Chirurgica Latviensis. 2010;48-51. Go to original source...
    22. Wang T, Sun JY, Zha JJ, Wang C, Zhao XJ. Delayed total hip arthroplasty after failed treatment of acetabular fractures: an 8- to 17-year follow-up study. J Orthop Surg Res. 2018;13:208. Go to original source... Go to PubMed...
    23. Wu ES, Jauregui JJ, Banerjee S, Cherian JJ, Mont MA. Outcomes of delayed total hip arthroplasty in patients with a previous ipsilateral acetabular fracture. Expert Rev Med Devices. 2015;12:297-306. Go to original source... Go to PubMed...

    Return to the content