OUTCOME OF MODIFIED STOPPA TECHNIQUE FOR THE MANAGEMENT OF ACETABULAR FRACTURES
Keywords:
Acetabular fractures, Modified Stoppa Approach, Radiological outcome, Clinical outcomeAbstract
Objective: To evaluate outcome in terms of radiological and clinical outcome of modified Stoppa technique for the management of acetabular fractures.
Methodology: This descriptive study was conducted at Orthopedic & Spine Unit, Hayatabad Medical Complex, Peshawar from January 2023 to January 2024. Fifty three patients with acetabular fractures were managed with modified Stoppa technique. Outcome such as radiological and clinical were assessed after 8 months of the procedure. Numerical data was assessed with mean and standard deviation while categorical with frequency and percentage. Chi Square test was used for association keeping P value significant at < 0.05.
Results: The mean age of participants was 44.62±11.69 years, with higher frequency of male patients. The mean operative time recorded was approximately 155.45±34.28 minutes, and the mean blood loss was 741.43±107.28 ml. Anatomical reduction was achieved in 39 (73.6%) of cases on the basis of Matta's criteria for radiological assessment, while clinical outcome were rated as excellent in 16 (30.2%) patients, good 29 (54.7%) patients, fair 6 (11.3%) patients while poor in 2 (3.8%) on the basis of Harris Hip Score.
Conclusion: Modified Stoppa Approach is a safe and potent procedure for the management of acetabular fractures exhibiting radiological and clinical outcome up to the mark.
Keywords: Acetabular fractures, Modified Stoppa Approach, Radiological outcome, Clinical outcome
References
Albrektsson M, Moller M, Wolf O, Wennergren D, Sundfeldt M. Acetabular fractures: Epidemiology and mortality based on 2,132 fractures from the Swedish Fracture Register. Bone Joint Open. 2023;4(9):652-8. DOI https://doi.org/10.1302/2633-1462.49.BJO-2023-0085.R1
Melhem E, Riouallon G, Habboubi K, Gabbas M, Jouffroy P. Epidemiology of pelvic and acetabular fractures in France. Orthopaedics & Traumatology: Surg Res. 2020;106(5):831-9. DOI https://doi.org/10.1016/j.otsr.2019.11.019
Alvarez-Nebreda ML, Weaver MJ, Uribe-Leitz T, Heng M, McTague MF, Harris MB. Epidemiology of pelvic and acetabular fractures in the USA from 2007 to 2014. Osteoporos Int. 2023;34(3):527-37. DOI https://doi.org/10.1007/s00198-022-06636-z
Kelly J, Ladurner A, Rickman M. Surgical management of acetabular fractures-a contemporary literature review. Injury. 2020;51(10):2267-77. DOI https://doi.org/10.1016/j.injury.2020.06.016
Shah N, Gill IP, Kempanna VK, Iqbal MR. Management of acetabular fractures in elderly patients. J Clin Orthop Trauma. 2020;11(6):1061-71. DOI https://doi.org/10.1016/j.jcot.2020.10.029
Perdue Jr PW, Tainter D, Toney C, Lee C. Evaluation and management of posterior wall acetabulum fractures. J Am Acad Orthop Surg. 2021;29(21):e1057-67. DOI: https://doi.org/10.5435/JAAOS-D-20-0130110.5435/JAAOS-D-20-01301
Kumar R, Shankar A, Kumar A, Kumar R. Clinical and Radiological Outcomes of Patients With Anterior Acetabulum Fractures Treated by the Modified Stoppa Approach. Cureus. 2023;15(11): e49237. DOI: https://doi.org/10.7759/cureus.49237
Nadeem U, Khalid Z, Ali A, Abdullah T, Uz Zaman A, Javaed S, et al. Outcome of Modified Stoppa Approach for Fixation of Acetabular Fractures. J Pak Orthop Assoc. 2021;33(02):57-61. http://www.jpoa.org.pk/index.php/upload/article/view/533.
Kim HY, Yang DS, Park CK, Choy WS. Modified Stoppa approach for surgical treatment of acetabular fracture. Clin Orthop Surg. 2015;7(1):29-38. DOI: http://dx.doi.org/10.4055/cios.2015.7.1.29
Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am. 1984;64(2):269-85. DOI: https://doi.org/10.1016/S0039-6109(16)43284-6
Nayak T, Mittal S, Trikha V, Farooque K, Gamanagatti S, Sharma V. Short-term results of surgical treatment of acetabular fractures using the modified Stoppa approach. J Clin Orthop Trauma. 2020;11(6):1121-7. DOI: https://doi.org/10.1016/j.jcot.2020.10.007.
Liu Y, Yang H, Li X, Yang SH, Lin JH. Newly modified Stoppa approach for acetabular fractures. Int Orthop. 2013;37:1347-53. DOI: https://doi.org/10.1007/s00264-013-1920-7
Al-Ashhab MG, AL-Attar HA, Shoulah SA, Abd Elkareem MS. Advantages of Modified Stoppa Approach in Mangement of Acetabular Fractures. Benha J Appl Sci. 2020;5(5):125-32. DOI: https://doi.org/10.21608/bjas.2020.136666
Kilinc CY, Acan AE, Gultac E, Kilinc RM, Hapa O, Aydogan NH. Treatment results for acetabulum fractures using the modified Stoppa approach. Acta Orthop Traumatol Turc. 2019 ;53(1):6-14. DOI: https://doi.org/10.1016/j.aott.2018.11.003
Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. JBJS. 1996 Nov 1;78(11):1632-45. https://pubmed.ncbi.nlm.nih.gov/8934477/
Modification of the Harris Hip Score in acetabular fracture treatment. Ovre S, Sandvik L, Madsen JE, Roise O. Injury. 2007;38:344-349. DOI: 10.1016/j.injury.2006.04.129
Khoshabi K, Manafi Rasi A, Zandi R, Amouzadeh Omrani F, Tavakoli Darestani R, Athari M, Afzal S. Outcomes of the Modified Stoppa Approach in Acetabular Fracture Management: Incidence of Nerve Injuries. Arch Bone Jt Surg. 2024;12(2):123-127. DOI: 10.22038/ABJS.2023.75631.3498
Soni A, Gupta R, Sen R. Acetabulum fractures in elderly patients: A review. Chin J Traumatol. 2022;25(6):331-335. DOI: 10.1016/j.cjtee.2021.12.004.
Giannoudis PV, Kanakaris NK, Dimitriou R, Mallina R, Smith RM: The surgical treatment of anterior column and anterior wall acetabular fractures: short- to medium-term outcome. J Bone Joint Surg Br. 2011, 93:970- 4. DOI: 10.1302/0301-620X.93B7.26105
Singh S V, Chopra R K, Puri G, Pheroz M, Kumar S,Bansal A, et al.Clinico-Radiological Evaluation of Modified Stoppa Approach in Treatment of Acetabulum Fractures. Cureus 2020; 2(9): e10193. doi:10.7759/cureus.10193
Letournel E, Judet R. Fractures of the acetabulum. Berlin:Springer-Verlag;1974:45-52. https://link.springer.com/book/10.1007/978-3-662-02325-9
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