Evaluation on curative effect of Stoppa approach combined with iliac fossa approach in treatment of patients with coxafossa anterior column or coxafossa dual column bone fracture
10.13481/j.1671-587x.20170235
- VernacularTitle:Stoppa入路结合髂窝入路治疗髋臼前柱或双柱骨折患者的疗效评价
- Author:
Dechao WANG
;
Kui LI
;
Pengke CAO
;
Fengnian LUAN
;
Bing CUI
;
Yu NING
;
Bing ZHANG
- Keywords:
coxafossa bone fracture;
coxafassa dual colum bone fracture;
Stoppa approach;
iliac fossa approach
- From:
Journal of Jilin University(Medicine Edition)
2017;43(2):391-395
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the curative effect and safety of Stoppa approach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture, and to provide a scientific evidence for its application in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture.Methods:Sixty-three patients with coxafossa anterior column or coxafossa dual column bone fracture were selected;among them 32 cases were treated with stoppa approach combined iliac fossa approach(Stoppa group),and 31 patients were treated with ilioinguinal approach(control group).The intraoperative blood loss volume,the operaton time,the reset quality of fracture and hip joint function after operation of the patients in two groups were evaluated.Results:The intraoperative blood loss volume of the patients in Stoppa group was lower than that in control group, and the difference was statistically significant (P<0.05).The operation time of the patients in Stoppa group was shorter than that in control group, and the difference was statistically significant (P<0.05).The reset quality of fracture of the patients in stoppa group was higher than that in control group, and the difference was statistically significant (P<0.05).The hip joint function of the patients in Stoppa group was higher than that in control group, and the difference was statistically significant (P<0.05).Conclusion:Stoppa approach combined with iliac fossa approach is an effective method in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture with sufficient exposure and tiny tissue damage.Stoppa approach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture has the advantages of shorter operative time,less blood loss, higher rate of anatomic reduction,and good joint function.
