Modified Stoppa combining with iliac fossa approach in the treatment of pelvic fractures under the assistance of digital technology
SUN Yong-jian
LI Wei-cheng
BAI Wei-jian
DING Chao
CHANG Si-ling
CHEN Hong-fen
Abstract：Objective To investigate the feasibility and effects of modified Stoppa combining with iliac foss approach in treatment of pelvic fractures under the assistance of digital technology. Methods Eleven patients with complex acetabular fracture, from January 2014 to October 2016, were analyzed. Letournel-Judet classification:6 double column fractures, 1 anterior column and half transverse fractures, 2 T-shaped fractures, and 2 anterior column fractures. Preoperative planning with digital technology, intraoperative Stoppa combining with iliac fossa approach, reduction and internal fixation were conducted. Operation time, intraoperative blood loss and blood transfusion were recorded. Matta criteria and Majeed scoring system were applied to evaluate the fracture reduction and postoperative functions. Results Patients were followed up for an average of 6.8 months ( range: 4 - 18 months ). Bony union was achieved in all patients. The average fracture healing time was 3.2 months ( range: 2 - 6 months ). The average operation time was 105 min ( range: 85 - 240 min ); the average blood loss was 350 ml ( range: 200 - 1200 ml ); the average blood transfusion was 400 ml ( range: 200 - 1200 ml ). According to the Matta criteria: 7 cases were excellent, 3 cases were good, 1 case was fair. Majeed scoring system: 7 cases were excellent, 2 cases were good, 1 case was fair and 1 case was poor. Conclusions Modified Stoppa combining with the iliac fosss approach is a good option in the treatment of complex acetabular fracture, providing advantages of being individualized and accurate, less blood loss, shorter operation time and better clinical outcomes.
Keywords：Hip fracturesAcetabular fractureDigital technologyModified Stoppaapproach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 810-813 )