Surgical outcomes of acute acetabular transverse fracture using ilioinguinal and Stoppa approach  

作　　者：Faizan Iqbal Akram Ali Uddin Sajid Younus Osama Bin Zia Naveed Khan Asmatullah 

机构地区：[1]Department of orthopedic surgery,Liaquat national hospital,Karachi,Pakistan

出　　处：《Journal of Acute Disease》2017年第6期278-283,共6页急性病杂志（英文版）

摘　　要：Objective: To compare surgical outcomes of acute acetabular transverse fracture using ilioinguinal and Stoppa approach. Methods: Twenty five patients who managed with ilioinguinal approach (group A) at a mean follow-up of (32.3±4.6) mo and 30 patients who managed with Stoppa approach (group B) at a mean follow-up of (29.7±3.8) mo were prospectively reviewed. The study was approved by the hospital ethical review committee (IRB approval no: 0189-2007). Patients were called for routine follow up and follow-up durations were set. End points of the study were: (1) blood loss was measured intraoperatively by measuring the blood loss in the suction drain and counting blood stained gauze and postoperatively by assessing hemoglobin after 6 h of surgery;(2) functional outcome was demonstrated using the Harris hip score;(3) reduction quality and radiological results were demonstrated by Matta scoring system. Results: Mean blood loss (intraoperatively +postoperatively) was (1 175.8±310.2) mL and (1 115.7±285.1) mL in patients operated with ilioinguinal and Stoppa approach, respectively. Mean operative time was (242.3±60.8) min and (198.9±50.3) min in patients operated with ilioinguinal and Stoppa approach, respectively. Functional outcome, radiological outcome and reduction quality showed no significant difference between two approaches. Complication rate was 36.0% in group A (9 patients) and 13.3% in group B (4 patients). Conclusions: Our study concludes that Stoppa approach allows less blood loss and operative time with fewer complications.

关 键 词：ACETABULUM ACETABULAR FRACTURES ILIOINGUINAL APPROACH Stoppa APPROACH 

分 类 号：R73[医药卫生—肿瘤]