Clinical and Radiological Early Results of Acetabulum Fractures Operated with the Modified Stoppa Approach

• Main Authors: Nevzat Gönder, Günhan Karakurum, Burçin Karslı, Toktamış Savaş, Nurcihan Yavuz Savaş
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2020-10-01
• Series: Haseki Tıp Bülteni
• Subjects: acetabulum; pelvis; traumatology
• Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/clinical-and-radiological-early-results-of-acetabu/42124
• ISSN: 1302-0072; 2147-2688

Aim:To evaluate the follow-up results of patients hospitalized for acetabular fractures and treated with the modified Stoppa approach.Methods:Records of fifty-two Acetabula from 48 patients who were followed up for at least six months between 2016 and 2019 were retrospectively analyzed. All fractures were classified according to the Judet-Letournel classification along with direct X-rays and 3D computed tomography findings. The postoperative reduction quality and radiological assessments during follow-up visits were evaluated according to Matta’s reduction quality criteria and Matta’s radiological scoring system. The clinical outcomes were analyzed using the modified Merle d’Aubigné scoring system.Results:The mean follow-up period of 48 patients included in the study was 9.72 (6-26) months. Excellent clinical results were obtained in 38 acetabula (73%). A significant correlation was found between the reduction quality assessment performed on the postoperative X-rays and the clinical outcome (p=0.002). At the same time, there was a significant correlation between Matta’s radiological criteria and clinical outcomes (p<0.001).Conclusion:This study shows that reduction quality in acetabular fractures and anatomical reduction done with stable fixation under optimal conditions is strongly associated with clinical outcomes.