Pararectus-approach vs. Stoppa-approach for the treatment of acetabular fractures - a comparison of clinical and operative outcome parameters

2020 ◽  
Author(s):  
MA Küper ◽  
B Röhm ◽  
U Stöckle ◽  
FM Stuby ◽  
A Höch ◽  
...  
Keyword(s):  
Acetabular Fractures ◽  
Outcome Parameters ◽  
Stoppa Approach ◽  
Operative Outcome ◽  
Pararectus Approach

scholarly journals Comparison of Therapeutic Outcomes of Transabdominal Pararectus Approach and Modified Stoppa Approach in Treating Pelvic and Acetabular Fractures

2022 ◽  
Author(s):  
Wei Liu ◽  
Hongbin Yang ◽  
Zhenyan Yu ◽  
Yu Zhao ◽  
Jigong Hu ◽  
...  
Keyword(s):  
Blood Loss ◽  
Operation Time ◽  
Fracture Reduction ◽  
Acetabular Fractures ◽  
Therapeutic Effects ◽  
Function Score ◽  
Incision Length ◽  
Stoppa Approach ◽  
Hip Function ◽  
Pararectus Approach

Abstract Objective Pelvic and acetabular fractures are common orthopedic diseases, and this research was to investigate the therapeutic effects of pararectus and Stoppa approaches in treating complex pelvic acetabular fractures. Methods The clinical information of patients with pelvic and acetabular fractures treated surgically in Lu'an Hospital of Chinese medicine, China from January 2016 to April 2020 was analyzed. There were 30 cases each in the transabdominal pararectus approach and modified Stoppa approach groups. The operation time, incision length, blood loss, and postoperative complications of both groups were recorded according to the Merle d'Aubigné-Postel hip score. The recovery of hip function was evaluated 6 months after surgery, and the clinical and therapeutic efficacies of the two groups were compared. Results The patients were followed up for 6–7 months (average, 6.5 months). The average operation time, incision length, and blood loss in the pararectus and Stoppa approach groups were 180 ± 41.105 min, 8.667 ± 1.373 cm, 259.667 ± 382 mL and 202.667 ± 32.793 min, 11.600 ± 1.958 cm, and 353.667 ± 590 mL, respectively. The satisfactory rate of fracture reduction, excellent and good rate of hip function score, and incidence of complications were 28/30, 27/30, 1/30 and 25/30, 25/30, 3/30, respectively. There were significant differences in operation time, incision length, and blood loss between the two groups (p < 0.05). However, there was no significant difference in the excellent and good rate of hip function score, fracture reduction satisfaction, and complication rate between both groups (p > 0.05). Conclusions The pararectus approach can reveal the better anatomical structure of the pelvis and acetabulum, such as the corona mortis and quadrilateral plate, for conducive fracture reduction and fixation. It can also effectively shorten the length of the incision, reduce operative blood loss, and shorten the operation time. It is a better choice for the clinical treatment of complex pelvic and acetabular fractures.

Modified Stoppa Approach: Beyond Acetabular Fractures

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Maroun Rizkallah ◽  
Anais Bernardeau ◽  
Peter Upex ◽  
Pierre Emmanuel Moreau ◽  
Hichem Abid ◽  
...  
Keyword(s):  
Acetabular Fractures ◽  
Stoppa Approach

Modified Stoppa approach for operative treatment of acetabular fractures: 10-year experience and mid-term follow-up

Injury ◽  
2018 ◽  
Vol 49 (6) ◽  
pp. 1137-1140 ◽  
Author(s):  
Diederik O. Verbeek ◽  
Kornelis J. Ponsen ◽  
Mark van Heijl ◽  
J. Carel Goslings
Keyword(s):  
Operative Treatment ◽  
Acetabular Fractures ◽  
Stoppa Approach

scholarly journals Optimizing the Anatomic Reduction of Complex Acetabular Fractures: A Technical Enhancement to the Modified Stoppa Approach

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
García J Diranzo ◽  
Ferrando L Hernández ◽  
Díaz V Estrems ◽  
Sánchez V Zarzuela ◽  
Ruipérez L Castillo ◽  
...  
Keyword(s):  
Acetabular Fractures ◽  
Anatomic Reduction ◽  
Stoppa Approach

Short-column acetabular fracture fixation through a mini-pararectus approach in anteriorly displaced acetabular fractures

2019 ◽  
Vol 30 (6) ◽  
pp. 539-543
Author(s):  
Mahmoud Badran ◽  
Osama Farouk ◽  
Ayman Kamal ◽  
Hossam Abubeih ◽  
Mohamed Khaled
Keyword(s):  
Fracture Fixation ◽  
Acetabular Fracture ◽  
Acetabular Fractures ◽  
Short Column ◽  
Pararectus Approach

scholarly journals Short-term results of surgical treatment of acetabular fractures using the modified Stoppa approach

2020 ◽  
Vol 11 (6) ◽  
pp. 1121-1127
Author(s):  
Tushar Nayak ◽  
Samarth Mittal ◽  
Vivek Trikha ◽  
Kamran Farooque ◽  
Shivanand Gamanagatti ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Acetabular Fractures ◽  
Short Term ◽  
Stoppa Approach

Internal Fracture Fixation Using the Stoppa Approach in Pelvic Ring and Acetabular Fractures: Technical Aspects and Operative Results

2006 ◽  
Vol 61 (3) ◽  
pp. 662-667 ◽  
Author(s):  
Kees-Jan Ponsen ◽  
Pieter Joosse ◽  
Arvid Schigt ◽  
Carel J. Goslings ◽  
Jan S. K. Luitse
Keyword(s):  
Fracture Fixation ◽  
Pelvic Ring ◽  
Acetabular Fractures ◽  
Technical Aspects ◽  
Operative Results ◽  
Internal Fracture Fixation ◽  
Stoppa Approach ◽  
Internal Fracture

scholarly journals Fixation of Pelvic-Acetabular Fractures Using a Midline-Modified Stoppa Approach: Clinical and Operative Outcomes

2018 ◽  
Vol 24 (1) ◽  
pp. 18-24
Author(s):  
Kenneth Kin-yan Chan ◽  
King-him Chui ◽  
Ka-chun Ip ◽  
Kin-bong Lee ◽  
Wilson Li
Keyword(s):  
Complication Rate ◽  
Injury Severity ◽  
Pelvic Ring ◽  
Functional Results ◽  
Bimodal Distribution ◽  
Harris Hip Score ◽  
Acetabular Fractures ◽  
Pelvic Ring Fractures ◽  
Stoppa Approach ◽  
Polytrauma Patients

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.

The Anterior Intra-Pelvic (Modified Rives-Stoppa) Approach for Fixation of Acetabular Fractures

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

The Pararectus approach for anterior intrapelvic management of acetabular fractures

2012 ◽  
Vol 94-B (3) ◽  
pp. 405-411 ◽  
Author(s):  
M. J. B. Keel ◽  
T. M. Ecker ◽  
J. L. Cullmann ◽  
M. Bergmann ◽  
H. M. Bonel ◽  
...  
Keyword(s):  
Acetabular Fractures ◽  
Pararectus Approach
Sign in / Sign up

Export Citation Format

Share Document