scholarly journals Clinical Results of Acetabular Fracture via the Pararectus versus Ilioinguinal Approach

2021 ◽  
Author(s):  
Ruyi Zou ◽  
Min Wu ◽  
Jianzhong Guan ◽  
Yuzhou Xiao ◽  
Xiaotian Chen
Author(s):  
Rahul Kadam ◽  
Preetam Singh Dagar ◽  
Abhay Challani ◽  
Ashutosh Jadhav ◽  
Jehangir Pestonji

<p class="abstract"><strong>Background:</strong> We analysed the clinical and functional outcome of acetabular fracture treated by Modified Stoppa approach. In this study, we also analysis Intraoperative and post-complications of fractures treated by the modified Stoppa apprpoach.</p><p class="abstract"><strong>Methods:</strong> All of the, 20 patients  who needed the anterior approach for the treatment of acetabular fracture at our hospital  from May 2016 To May 2018, were subjected to surgery via modified Stoppa approach. Pre-operative Anterior posterior (AP) view and Judet and CT scan were done to classify the fracture. Functional  outcome was assessed by using the  modified  Merle D’ Aubigne  Postel clinical grading system, radiological outcome by Matta et al and perioperative complication were assessed by retrospectively analyzing medical records and radiographics examination.<strong></strong></p><p class="abstract"><strong>Results: </strong>The clinical results were excellent in 12 cases , very  good  2 in  cases  and  good in  1 cases , fair in 1 case and  poor in 4  cases. Athough the radiological 12 cases had anatomical reduction, 5 imperfect reduction and 3 poor reduction.</p><p class="abstract"><strong>Conclusions:</strong> It can be concluded that the modified Stoppa approach could be used as an alternative to the ilioinguinal approach. It’s provides excellent access and visulaistion to the anterior column and quadrilateral surface and the rates of complication were less as compare to ilioinguinal approach.</p>


Author(s):  
Simon Weidert ◽  
Sebastian Andress ◽  
Christoph Linhart ◽  
Eduardo M. Suero ◽  
Axel Greiner ◽  
...  

A correction to this paper has been published: https://doi.org/10.1007/s11548-021-02348-7


Author(s):  
Simon Weidert ◽  
Sebastian Andress ◽  
Christoph Linhart ◽  
Eduardo M. Suero ◽  
Axel Greiner ◽  
...  

2020 ◽  
Vol 34 (6) ◽  
pp. 316-320 ◽  
Author(s):  
M. Kareem Shaath ◽  
Philip K. Lim ◽  
Reid Andrews ◽  
Elizabeth B. Gausden ◽  
Phillip M. Mitchell ◽  
...  

Author(s):  
Sheng Yao ◽  
Kaifang Chen ◽  
Yanhui Ji ◽  
Fengzhao Zhu ◽  
Lian Zeng ◽  
...  

Abstract Background To compare the efficacy of the operative techniques, complications, reduction quality and hip functional recovery by using the supra-ilioinguinal approach and the modified Stoppa approach for the management of acetabular fractures. Methods A consecutive cohort of 60 patients from September 2014 to October 2017 with displaced acetabular fractures involving the quadrilateral plate were treated operatively with supra-ilioinguinal approach (group A) and modified Stoppa approach (group B), respectively. There were 36 patients in group A and 24 patients in group B. The surgical details, complications, radiographic and clinical results were recorded. The quality of reduction was assessed by measuring the residual step and gap displacement of postoperative CT with a standardized digital method. Results The complications, reduction quality (gaps and steps) and hip function recovery had no significant statistical difference in approaches. The mean operative time was shorter and the mean intraoperative haemorrhage was less in group A. There were statistical differences in the operative time (P = 0.025) and intraoperative haemorrhage (P = 0.003) between the supra-ilioinguinal approach and the modified Stoppa approach. Conclusion Compared to the modified Stoppa approach, the supra-ilioinguinal approach provides a closer visualization to the quadrilateral plate, the operative time was shorter and the intraoperative haemorrhage was clearly less. It is at least equal to or could be a better choice to deal with complicated acetabular fractures especially involving the quadrilateral plate and the anterior one third of the iliac bone.


1993 ◽  
Vol 3 (1) ◽  
pp. 60-70 ◽  
Author(s):  
Stephen A. Kottmeier ◽  
Jean-Pierre C. Farcy ◽  
Howard M. Baruch

Injury ◽  
2014 ◽  
Vol 45 (12) ◽  
pp. 1900-1907 ◽  
Author(s):  
Marius Johann Baptist Keel ◽  
Salvatore Tomagra ◽  
Harald Marcel Bonel ◽  
Klaus Arno Siebenrock ◽  
Johannes Dominik Bastian

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098282
Author(s):  
Yizhou Wan ◽  
Sheng Yao ◽  
Kaifang Chen ◽  
Lian Zeng ◽  
FengZhao Zhu ◽  
...  

Objective To report the feasibility and effect of the supra-ilioinguinal approach for treatment of anterior posterior hemitransverse fracture of the acetabulum. Methods Nineteen consecutive patients who underwent treatment for an anterior column posterior hemitransverse fracture of the acetabulum from January 2013 to June 2018 were retrospectively analyzed. All patients underwent treatment by the single supra-ilioinguinal approach with at least 1 year of follow-up. Results The mean time to surgery, operative time, incision length, and blood loss were 10.2 ± 3.8 days, 157 ± 125 minutes, 10.2 ± 0.6 cm, and 876 ± 234 mL, respectively. According to the Matta scoring system, the reduction quality was excellent in 13 patients, good in 6, and poor in 0. According to the Merle d'Aubigné scoring system, the outcome at the last follow-up was excellent in 12 patients, good in 5, fair in 1, and poor in 1. Postoperative complications occurred in three patients (deep vein thrombosis in one, lateral femoral cutaneous nerve injury in one, and both complications in one). Conclusions Use of the supra-ilioinguinal approach for treatment of anterior column posterior hemitransverse fracture of the acetabulum produced excellent clinical results because of the direct visualization of the anterior column and quadrilateral plate.


2010 ◽  
Vol 131 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Nakul Karkare ◽  
Richard A. Yeasting ◽  
Nabil A. Ebraheim ◽  
Norman Espinosa ◽  
Max J. Scheyerer ◽  
...  

1950 ◽  
Vol 14 (2) ◽  
pp. 214-227 ◽  
Author(s):  
Vernon A. Weinstein ◽  
Franklin Hollander ◽  
Frances U. Lauber ◽  
Ralph Colp

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