Treatment of Acetabulum Anterior Wall Fractures Using the Modified Stoppa Approach

• Published in: Curēus (Palo Alto, CA) Vol. 15; no. 10; p. e47770
• Main Authors: Şahin, İsmail G, Can, Fatih İ, Gültaç, Emre, Kilinc, Rabia M, Aydoğan, Nevres H, Kilinc, Cem Y
• Format: Journal Article
• Language: English
• Published: Palo Alto Cureus Inc 26.10.2023; Cureus
• Subjects: Body mass index; Digital archives; Joint replacement surgery; Orthopedics; Patients; Pelvis; Range of motion; Surgeons; Surgical techniques; Trauma
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.47770

IntroductionThe 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.