Outcome of Modified Stoppa Approach for Fixation of Acetabular Fractures.

Authors

  • Umair Nadeem Assistant Professor, Ghurki Trust Teaching Hospital Lahore
  • Zubair Khalid Post Graduate Resident Orthopaedic, Ghurki Trust Teaching Hospital Lahore
  • Atif Ali Medical Officer, Ghurki Trust Teaching Hospital Lahore
  • Tallal Abdullah Medical Officer Ghurki Trust Teaching Hospital Lahore
  • Atiq uz Zaman Professor, Department of Orthopaedic Surgery, Ghurki Trust Teaching Hospital Lahore
  • Shehzad Javaed Professor, Department of Orthopaedic Surgery, Ghurki Trust Teaching Hospital Lahore
  • Amer Aziz Professor, Department of Orthopaedic Surgery, Ghurki Trust Teaching Hospital Lahore

Keywords:

Modified Stoppa approach, fixation, acetabular fractures, outcome, complications.

Abstract

Objective: To determine the outcome of modified stoppa approach for fixation of acetabular fractures in terms of operative time, complications, radiological and clinical outcome criteria of Matta.

Method: This was a descriptive study conducted from 12th September 2018 to 12th January 2021 in Orthopedic Unit of Ghurki Trust Teaching Hospital Lahore. All patients with acetabular fractures meeting the inclusion criteria were operated via modified Stoppa approach. Outcome was assessed in terms of mean operative time, complications rate and Matta’s radiological and clinical criteria at 16th week.

Results: The total number of patients in this study were 52. The mean age was 31.1±12.4 years. Male patients were 36(69.2%) males and female 16(30.8%). The fractures were associated type in 34(65.3%) and elementary in 18(34.6%) patients. The mean follow-up time was 4.8 months (range 6 to 11months). The mean operative time was 176.32±88.29 min. According to Matta’s radiological criteria post operative anatomical reduction was achieved in 39(75%) cases, imperfect in 8(15.3%) cases and poor in 5(9.6%) cases. The clinical results were excellent in 13(25%) cases, good in 31(59.6%) cases and poor in 8(15.3%) cases. Superficial surgical site infection (SSI) was noted in 2(4.3%) patients and resolved with antibiotics.

Conclusion: Modified Stoppa approach is an effective and safe alternative to Ilioinguinal approach for acetabular fractures yielding satisfactory radiological and clinical outcome with minimal complications.

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Published

2021-06-04

How to Cite

Umair Nadeem, Zubair Khalid, Atif Ali, Tallal Abdullah, Atiq uz Zaman, Shehzad Javaed, & Amer Aziz. (2021). Outcome of Modified Stoppa Approach for Fixation of Acetabular Fractures. Journal of Pakistan Orthopaedic Association, 33(02), 57–61. Retrieved from http://jpoa.org.pk/index.php/upload/article/view/533

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