Application of modified Stoppa approach for the treatment of unstable fractures of anterior pelvic ring
WANG Zhao-hui
TANG Yan-ping
HE Bo-yong
PENG Zhong-cai
WU Shi-hua
LIU Jian-wei
XIE Xian-yong
Abstract：Objective To investigate the clinical experience of adopting the modified Stoppa approach in the treatment of unstable fractures of anterior pelvic ring .Methods A total of 15 cases of unstable fractures of anterior pelvic ring were treated through the modified Stoppa approach .According to the Tile's classification ,1 case was type B1,2 cases were type B2,5 cases were B3,2 cases were C1,1 case was C2 and 4 cases were C3.The cases of C3 were all combined with acetabular fracture ,including 1 anterior column/posterior wall fracture ,2 transverse fractures , and 1 both column fracture.The modified Stoppa approach was used exclusively in 10 cases,and together with posterior per-cutaneous sacroiliac screw fixation in 2 cases,Kocher-Langenbeck approach in 2 cases and iliac fossa approach in 1 case.Results The average incision length of the modified Stoppa approach was 10 cm(range from 8 to 13 cm),the mean operation time and blood loss were 110 minutes (range from 80 to 150 minutes)and 600 ml(range from 300 to 1000 ml)respectively.All the fracture recovered satisfactorily .All cases were followed up for 4 to 18 months,indica-ting bone healing and satisfactory clinical results .Conclusion The modified Stoppa approach has many advantages including minimal invasiveness ,simple dissection ,excellent visual control of reduction and fixation ,and low complica-tion rates.It is a satisfactory approach for the treatment of unstable fractures of anterior pelvic ring .
Keywords：anterior pelvic ringfracturesoperation approach
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 408-411 )