Ji Wan Kim; Young Chang Kim

doi:10.12671/jkfs.2014.27.4.274

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Original Article
Modified Stoppa Approach in Acetabular Fractures: Ji Wan Kim, M.D., Ph.D., Young Chang Kim, M.D., Ph.D.; Journal of the Korean Fracture Society 2014;27(4):274-280.
DOI: https://doi.org/10.12671/jkfs.2014.27.4.274
Published online: October 20, 2014

Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Address reprint requests to: Ji Wan Kim, M.D., Ph.D. Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 612-896, Korea. Tel: 82-51-797-0990, Fax: 82-51-797-0991, H00106@paik.ac.kr

• Received: May 17, 2014 • Revised: July 11, 2014 • Accepted: July 11, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study is to evaluate the clinical results of modified Stoppa approach in acetabular fractures.
Materials and Methods
Twelve patients who underwent surgery using the modified Stoppa approach for acetabular fractures were enrolled. There were 10 cases of isolated acetabular fracture, two cases of acetabular fracture combined with pelvic ring injury. There were two cases of anterior column fracture, nine cases of both column fracture, and one case of T-type fracture according to Letournel classification. The clinical outcomes were evaluated from Harris hip score (HHS) at postoperative one year and complications. The radiologic result was evaluated according to Matta criteria; anatomical, imperfect, and poor.
Results
According to the radiological results, there were eight cases of anatomical, three cases of imperfect, and one case of poor reduction. The average HHS was 82.5 and 10 patients had excellent or good results. The other two patients had poor results due to lumbosacral plexopathy and poor reduction, respectively. The complication included one case of incomplete sciatic nerve palsy, which was recovered at postoperative three months.
Conclusion
Internal fixation of acetabular fractures using the modified Stoppa approach had satisfactory clinical and radiological outcomes. The modified Stoppa approach can be a useful option for acetabular fractures with appropriate indication and anatomical information.
Key words: Acetabulum, Acetabular fracture, Modified Stoppa approach

Financial support: None.

Conflict of interest: None.

REFERENCES

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Citations

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Modified Stoppa Approach in Acetabular Fractures

J Korean Fract Soc. 2014;27(4):274-280. Published online October 31, 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.4.274

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Modified Stoppa Approach in Acetabular Fractures