Stoppa approach in pelvic and acetabular fractures
10.3760/cma.j.issn.1671-7600.2009.06.002
- VernacularTitle:Stoppa入路在骨盆髋臼骨折中的初步应用
- Author:
Qiyong CAO
;
Xinbao WU
;
Xieyuan JIANG
;
Shiwen ZHU
;
Honghua WU
;
Manyi WANG
- Publication Type:Journal Article
- Keywords:
Pelvis;
Aeetabulum;
Fracture;
Surgical approach
- From:
Chinese Journal of Orthopaedic Trauma
2009;11(6):504-508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report our preliminary clinical experience of using the Stoppa approach in treatment of pelvic and acetabular fractures. Methods From March 2008 to November 2008, 10 cases of pelvic and acetabular fracture were treated through the Stoppa approach - low abdomen midline or suprapuhic transverse incision and infra-peetineal plating. Of them, 5 pelvic cases were all Tile type C. The Stoppa ap-proach was used to manage each fracture of peripheral pubic ramus. The other 5 cases of acetabular fracture included 2 transverse, 1 posterior column, 1 T type and 1 both column ones. The Stoppa approach was used exclusively in 2 cases, and together with Kocher-Langenbeck or ilioinguinal approach in the other 3 cases. Results The average incision length of the Stoppa approach was 10 cm, the mean operation time and blood loss were 1.5 hours and 560ml respectively. The reduction of the pelvic and acetabular fractures were all excellent. There were no operative complications. Of them, 7 cases were followed up for 4 to 8 months, showing satisfactory functional results. Conclusion The Stoppa approach can replace the ilioinguinal approach in management of fractures of peripheral pubic ramus, and can be used together with other ap-proaches for acetahular fractures, but it has advantages of simple dissection and a low complication rate.
