Modified Stoppa Approach: Beyond Acetabular Fractures

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Maroun Rizkallah ◽  
Anais Bernardeau ◽  
Peter Upex ◽  
Pierre Emmanuel Moreau ◽  
Hichem Abid ◽  
...  
Injury ◽  
2018 ◽  
Vol 49 (6) ◽  
pp. 1137-1140 ◽  
Author(s):  
Diederik O. Verbeek ◽  
Kornelis J. Ponsen ◽  
Mark van Heijl ◽  
J. Carel Goslings

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
García J Diranzo ◽  
Ferrando L Hernández ◽  
Díaz V Estrems ◽  
Sánchez V Zarzuela ◽  
Ruipérez L Castillo ◽  
...  

2020 ◽  
Vol 11 (6) ◽  
pp. 1121-1127
Author(s):  
Tushar Nayak ◽  
Samarth Mittal ◽  
Vivek Trikha ◽  
Kamran Farooque ◽  
Shivanand Gamanagatti ◽  
...  

2018 ◽  
Vol 24 (1) ◽  
pp. 18-24
Author(s):  
Kenneth Kin-yan Chan ◽  
King-him Chui ◽  
Ka-chun Ip ◽  
Kin-bong Lee ◽  
Wilson Li

Background/Purpose This served as the first report from our locality to evaluate the modified Stoppa approach, via a low-midline wound, for treating pelvic–acetabular fractures. Methods A total of 17 polytrauma patients with pelvic and/or acetabular fractures were consecutively treated using the modified Stoppa approach. They were followed up for at least 1 year postoperatively for radiographic and clinical assessments, which included the Modified Merle d'Aubigne Score, Harris Hip Score, and pain visual analogue scale. Results Among the 17 patients, 11 had pelvic ring fractures, two had isolated acetabular fractures, and four had a combination of both. Excellent and anatomical reduction was achieved in 73.3% of pelvic fractures and 71.4% of acetabular fractures. Functional outcomes simulated a bimodal distribution. Age of patient and Injury Severity Score were significant predictors for functional results, whereas fracture characteristics and quality of reduction were not correlated with clinical outcomes in this series. We experienced a low complication rate. Conclusion Excellent exposure for fracture reduction and fixation with low complication rate was achieved with the modified Stoppa approach. We were encouraged by the results of this preliminary series for treating pelvic–acetabular fractures in polytrauma patients.


2010 ◽  
Vol 24 (5) ◽  
pp. 263-270 ◽  
Author(s):  
H Claude Sagi ◽  
Alan Afsari ◽  
Daniel Dziadosz

2020 ◽  
Vol 5 (5) ◽  
pp. 1-8
Author(s):  
M.G. Al-Ashhab ◽  
H.A. AL-Attar ◽  
S.A. Shoulah ◽  
M.S. Abd Elkareem

2022 ◽  
Author(s):  
Dae-Kyung Kwak ◽  
Seunghun Lee ◽  
Yongmin Lee ◽  
Ji-Hyo Hwang ◽  
Je-Hyun Yoo

Abstract Treatment of superomedially displaced acetabular fractures including a quadrilateral surface (QLS) is challenging. We present a surgical technique using an anatomical suprapectineal QLS plate through the modified Stoppa approach and report the availability of this plate to treat this fracture type along with the surgical outcomes. Thirteen consecutive patients (11 men and 2 women) who underwent surgical treatment using an anatomical suprapectineal QLS plate through a modified Stoppa approach for superomedially displaced acetabular fractures between June 2018 and June 2020, were enrolled retrospectively. These fractures included 10 both-column fractures and 3 anterior-column and posterior hemitransverse fractures, which were confirmed on preoperative 3-dimensional computed tomography. Surgical outcomes were clinically assessed using the Postel Merle d’Aubigné (PMA) score and visual analog scale (VAS) score at the final follow-up, and radiological evaluations were performed immediately after the operation and at the final follow-up. The follow-up period was longer than 1 year in all patients with a mean 22.9 months. The mean operation time was 103 min. Anatomical reduction was achieved in 11 (84.6%) patients, while imperfect reduction was achieved in the remaining two (15.3%) patients. At the final follow-up, radiographic grades were excellent, fair, and poor in 11 (84.6%), one (7.6%), and one patient, respectively. The mean PMA score was 16.3 (range, 13-18) and the mean VAS score was 1.0 (range, 0-3). No secondary reduction loss or implant loosening was observed. However, two patients underwent conversion to total hip arthroplasty due to post-traumatic arthritis and subsequent joint pain. No other complications were observed. Simultaneous reduction and fixation using an anatomical suprapectineal QLS plate through the modified Stoppa approach can provide satisfactory outcomes in superomedially displaced acetabular fractures, resulting in shorter operation times and fewer complications.


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