Publication:

Functional outcome of acetabular fracture fixation by modified Stoppa’s approach

Background We analysed the clinical and functional outcome of acetabular fracture treated by Modified Stoppa approach. In this study, we also analysis Intraoperative and post-complications of fractures treated by the modified Stoppa apprpoach.

Methods All of the, 20 patients  who needed the anterior approach for the treatment of acetabular fracture at our hospital  from May 2016 To May 2018, were subjected to surgery via modified Stoppa approach. Pre-operative Anterior posterior (AP) view and Judet and CT scan were done to classify the fracture. Functional  outcome was assessed by using the  modified  Merle D’ Aubigne  Postel clinical grading system, radiological outcome by Matta et al and perioperative complication were assessed by retrospectively analyzing medical records and radiographics examination.

Results The clinical results were excellent in 12 cases , very  good  2 in  cases  and  good in  1 cases , fair in 1 case and  poor in 4  cases. Athough the radiological 12 cases had anatomical reduction, 5 imperfect reduction and 3 poor reduction.

Conclusions It can be concluded that the modified Stoppa approach could be used as an alternative to the ilioinguinal approach. It’s provides excellent access and visulaistion to the anterior column and quadrilateral surface and the rates of complication were less as compare to ilioinguinal approach.