Comparison of Modified Stoppa Surgical Approach and Ilioinguinal Surgical Approach for Acetabu-lar Fracture Reduction

Abstract：Objective To compare postoperative complications,clinical function,and quality of reduction of the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and internal fixation of acetabular fracture. Methods A total of 138 patients were included in this study from February 2007 to February 2014. The patients were divided to Stoppa group(the modified stoppa surgical approach for open reduction and internal fixation of acetabular fracture,n=41) and ilioinguinal group( the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and in-ternal fixation of acetabular fracture,n=97),according to different surgical approach. These data were compared between the groups,such as the operative time,blood loss,complications,clinical function,and quality of reduction. Results All sugery were successfully completed. The patients in the stoppa group had a shorter operative time,less blood loss,higher rate of ana-tomic reduction,and higher rate of excellent of clinical function when compared to those in ilioinguinal group(P﹤0. 05). However,there were no significant difference between the stoppa group and ilioinguinal group in term of complications,and rate of good-to-excellent of clinical function(P﹥0. 05). Conclusion The use of modified stoppa surgical approach or the ilio-inguinal surgical approach for acetabular fracture reduction can obtain similar clinical function and incidence of complication, but the modified stoppa surgical approach has the advantage of a shorter operative time,less blood loss,and higher rate of ana-tomic reduction.