Técnica de Stoppa modificada para fratura de acetábulo: uma revisão

Soni, Ashwani; Gupta, Ravi; Sen, Ramesh Kumar

doi:10.1016/j.rboe.2017.09.006

Cited by 11 publications

(10 citation statements)

References 46 publications

(282 reference statements)

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“…Likewise in this examination, Kazemi et al [18] announced that the mean changed Merle d'Aubigne Score was 17.4, interestingly Elmadag et al [35] detailed that I in 40.9% and Poor in 13.9% of the patients. Whereas Matta's radiological score in last visit of follow-up was Excellent in 63%, Good in 20%, Fair in 8.5% and Poor in 8.5% of the patients, in contrast Soni et al [36] reported that in ORIF group, Matta's radiological score in last visit was Excellent in 64.3%, Good in 20%, Fair in 8.6% and Poor in 7.1% of the patients also Cole et al (37) reported that in ORIF group, Matta's radiological score in last visit was Excellent in 64%, Good in 25%, Fair in 7% and Poor in 4% of the patients.…”

Section: Utilitarian Resultsmentioning

confidence: 76%

A Systematic Review on Percutaneous Fixation of Anterior Column Fractures of the Acetabulum

Ashour

Mselhy

Shoulah

et al. 2020

Benha Journal of Applied Sciences

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The current standard treatment of anterior column acetabular fractures includes formal open reduction with internal fixation (ORIF) through a variety of anterior approaches. Nonetheless, extensile introduction can prompt entanglements. Percutaneous negligibly obtrusive careful adjustment for a front section break of hip bone socket has become an acknowledged treatment strategy for as far back as quite a long while. The reason for this investigation is to give combined information about signs and results of percutaneous obsession of cracks of foremost segment of hip bone socket. This orderly survey comprised of 4 stages, including a methodical inquiry of the writing by utilizing PubMed and The Cochrane Library (Step1), determination of clinical investigations in the English language bound to cracks of hip bone socket which went through percutaneous obsession of foremost section (Step 2), study qualities were deliberately removed from the chosen papers (Step 3), and extraction of information on clinical results (Step 4). The inquiry yielded 14 papers qualified for our investigation. 68% were guys and 32% were females. The mean age of the patients was 52 yr. The primary system of injury is RTA 59%. The mean employable time was 43.4 min and the mean blood misfortune was 54.3 ml. Just 25 patients (5.8 %) had careful inconveniences. The majority of articles empower Partial weight-holding on for ROM practices in the first post-usable day. The mean HHS was 87.7 (acceptable). Post-usable radiological result was anatomical in 72% though radiological result in last visit was Excellent in 63% and Good in 20%. PCS obsession of breaks of the foremost segment of the hip bone socket with either traditional or mechanized route framework fluoroscopy could be applied not exclusively to non-uprooted cracks yet in addition to dislodged breaks amiable to shut or restricted open decrease. The mechanized route framework is better as it gives a multi-planar perspectives which give a 3D creative mind of the life structures of the pelvis, diminishing the quantity of pictures taken and this will diminish fluoroscopic time introduction and blood misfortune. Contrasted with ORIF, PCS obsession accomplishes a comparative nature of decrease and utilitarian result yet is related with less complexities, littler intraoperative blood misfortune, shorter usable time and permit early weight-bearing and recovery.

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Section: Utilitarian Resultsmentioning

confidence: 76%

A Systematic Review on Percutaneous Fixation of Anterior Column Fractures of the Acetabulum

Ashour

Mselhy

Shoulah

et al. 2020

Benha Journal of Applied Sciences

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“…Of the 11 patients included in the study (11 out of 26 patients with acetabulum anterior wall fracture), nine were male (81.82%), and two were female (18.18%). The median age of the patients at the time of trauma was 40 , and the median time to surgery was six days (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), and the median operation time was 120 minutes (90-180). The median amount of intraoperative bleeding was 450 ml (200-800) according to the measurement described by the study of Açan et al [14] (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Currently, there are publications stating that the modified Stoppa approach has a better anatomical reduction chance and lower complication rates compared to the ilioinguinal approach [10][11][12]. In addition, acetabulum anterior wall fractures have also been reported as complications of total hip replacement surgery, and anterior wall fractures treated with a modified Stoppa approach simultaneously with total hip replacement surgery are also presented in the literature [13].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, acetabulum anterior wall fractures have also been reported as complications of total hip replacement surgery, and anterior wall fractures treated with a modified Stoppa approach simultaneously with total hip replacement surgery are also presented in the literature [13]. Isolated anterior acetabular fractures account for approximately 10% of all acetabular fractures, and the anterior (ilioinguinal) approach is the mainstay of treatment [10][11][12][13]. Although it is stated that modified Smith-Peterson and anterior intrapelvic (modified Stoppa) approaches can be used in the surgical treatment of these fractures, there is no detailed publication describing the surgical technique of using modified Stoppa.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Acetabulum Anterior Wall Fractures Using the Modified Stoppa Approach

Şahin,

Can,

Gültaç

et al. 2023

Cureus

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The objective of this study was to describe the modified Stoppa approach for anterior wall fracture fixation and to present our radiological and functional results of this approach. Materials and methodsBetween April 2013 and December 2019, 256 acetabular fractures operated with the modified Stoppa approach in our clinic were retrospectively reviewed, and 11 patients who were operated for anterior acetabular wall fractures with at least two years of follow-up were included in the study. ResultsThe median amount of bleeding during surgery was found to be 450 ml (200-800), and the median operation time was 120 minutes (90-180). The modified Merle d'Aubigné and Postel Hip Score (MDS), modified Harris Hip Score (HHS), Matta's Reduction Criteria (MRC), and Kellgren-Lawrence Classification (KLC) outcomes are similar to the anterior surgical approach. ConclusionWe suggest that the modified Stoppa approach can be safely used in the surgical treatment of isolated anterior acetabular fractures due to its short operative duration, low amount of bleeding, low complication rate, and favorable radiological and clinical results. The modified Stoppa procedure is a considerable alternative to the ilioinguinal approach in anterior acetabular fractures.

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“…However, these approaches require the placement of an incision on the abdominal wall and the intraoperative exposure of the abdominal soft tissue 7 . If the pelvic organs or other soft tissues are accidentally damaged during the surgical procedure, this can lead to incisional hernia, post-Pfannenstiel pain syndrome, rectus atrophy, urinary bladder injury, and other complications [8][9][10][11][12] . For some patients concerned about esthetic outcomes, the scar on the abdominal wall after the surgical procedure is also unacceptable.…”

mentioning

confidence: 99%

Novel Covert-Inferior Pelvic Approach with a Subpubic Plate for Anterior Pelvic Ring Fractures

Yuan

Ren

Cui

et al. 2022

Journal of Bone and Joint Surgery

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Background:Anterior pelvic ring injuries can be treated via Pfannenstiel, modified Stoppa, or ilioinguinal approaches, but these require exposing the abdominal soft tissues and may damage pelvic organs. The scar on the abdominal wall is also unacceptable for some patients. The minimally invasive anterior pelvic ring internal fixator (INFIX) is not ideal for thin patients with easily irritated skin, and it is associated with complications such as femoral nerve palsy, vascular occlusion, and lateral femoral cutaneous nerve injury. In this study, we designed a new external pelvic approach for the treatment of an anterior pelvic ring fracture.Methods:We retrospectively reviewed 28 patients with 36 pubic ramus fractures that had been treated via the covert-inferior pelvic approach. All patients underwent a surgical procedure between August 2019 and January 2021. According to the Nakatani classification, there were 6 cases of type-I fracture, 25 cases of type-II fracture, and 5 cases of type-III fracture. Operative time, blood loss, and postoperative radiographic and computed tomographic (CT) findings were recorded. Patients were followed for fracture healing time, functional status, esthetic satisfaction, and complications.Results:A total of 27 patients had follow-up for at least 12 months (range, 12 to 29 months). Postoperative radiographs and CT scans showed well-positioned plates and screws. The mean preoperative time was 9.4 ± 3.8 days, the mean operative time was 61.3 ± 22.67 minutes, the mean intraoperative blood loss was 63.6 ± 42.62 mL, the mean fracture healing time was 4.1 ± 1.6 months, and the mean Majeed score was 89.74 ± 8.07. There were no complications of nonunion, internal fixation failure, vascular injury, nerve palsy, or hernia. All of the patients were esthetically satisfied with the scar.Conclusions:The covert-inferior pelvic approach combined with a subpubic plate effectively fixed Nakatani type-I, II, and III fractures. The advantages of this method include rapid recovery after the surgical procedure, safety, simplicity, a short learning curve, no damage to abdominal soft tissue, no effect on pubic symphysis micromotion, and esthetic benefits. It may be another option for anterior pelvic ring fractures and can supplement other approaches.Level of Evidence:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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Técnica de Stoppa modificada para fratura de acetábulo: uma revisão

Cited by 11 publications

References 46 publications

A Systematic Review on Percutaneous Fixation of Anterior Column Fractures of the Acetabulum

A Systematic Review on Percutaneous Fixation of Anterior Column Fractures of the Acetabulum

Treatment of Acetabulum Anterior Wall Fractures Using the Modified Stoppa Approach

Novel Covert-Inferior Pelvic Approach with a Subpubic Plate for Anterior Pelvic Ring Fractures

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