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Outcome of Modified Stoppa Approach for Fixation of Acetabular Fractures.
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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