The Stoppa approach versus the ilioinguinal approach for anterior acetabular fractures: A case control study assessing blood loss complications and function outcomes

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dc.contributor.authorElmadağ, Nuh Mehmet
dc.contributor.authorGüzel, Y.
dc.contributor.authorAcar, Mehmet Ali
dc.contributor.authorUzer, Gökçer
dc.contributor.authorArazi, Mehmet
dc.date.accessioned2020-03-26T18:58:41Z
dc.date.available2020-03-26T18:58:41Z
dc.date.issued2014
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: The modified Stoppa approach was introduced to manage fracture of the anterior column instead of the ilioinguinal approach to reduce morbidity. However there is no clinical evidence to confirm its efficiency. Therefore this study was designed to ascertain: (1) if the Stoppa approach versus ilioinguinal allows less blood loss, (2) if functional and radiological results are superior to that of the ilioinguinal approach, (3) if the rate of complication was different. Hypothesis: The modified Stoppa approach allows less blood loss than the ilioinguinal in management of fractures of the anterior column of the acetabulum. Patients and methods: Nineteen patients who were treated with the ilioinguinal approach (Group A) at a mean follow-up of 33 months and 17 patients who were treated with the modified Stoppa approach (Group B) at a mean follow-up of 28.9 months were retrospectively reviewed. Patients were called to the final follow-up examination, mean follow-up durations were set and the functional evaluation of patients was made with measurement of range of motion, Harris Hip Scores (HHS), and Merle D'Aubigne score. Results: Average blood loss was determined at a mean 1170 mL (range, 750-2150 mL) in Group A and at a mean 1110 mL (range, 450-2000 mL) in Group B (P=0.168). The mean HHS (group A=89.4 [73-99] and group B = 88.4 [75-97]) and Merle D'Aubigne scores (group A = 16.8 [13-18] and group B = 16.5 [13-18]) showed no significant difference between the groups (P=0.169). At the final follow-up, the mean hip flexion was found to be 106.83 +/- 12.47 and the hip extension was 10.33 +/- 6.12 in Group A, while these values were 103.71 +/- 14.32 and 10.69 +/- 8.17 in Group B (NS between groups regarding flexion [P= 0.678] and extension [P= 0.445]). The complication rate was 31% in Group A (6 patients) and 23% in Group B (4 patients) (P > 0.05). Discussion: Both surgical approaches give successful results in the treatment of acetabular fractures. Contrary to expectations, there was no difference in the amount of bleeding at the wound site from the Stoppa technique, even though it is minimally invasive, compared to the ilioinguinal approach. Level of evidence: Level III retrospective case control study. (C) 2014 Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.doi10.1016/j.otsr.2014.05.020en_US
dc.identifier.endpage680en_US
dc.identifier.issn1877-0568en_US
dc.identifier.issue6en_US
dc.identifier.pmid25161073en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage675en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.otsr.2014.05.020
dc.identifier.urihttps://hdl.handle.net/20.500.12395/31239
dc.identifier.volume100en_US
dc.identifier.wosWOS:000343109800018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER MASSON, CORPORATION OFFICEen_US
dc.relation.ispartofORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCHen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectModified Stoppaen_US
dc.subjectIlioinguinalen_US
dc.subjectAcetabulum fracturesen_US
dc.subjectAcetabulumen_US
dc.titleThe Stoppa approach versus the ilioinguinal approach for anterior acetabular fractures: A case control study assessing blood loss complications and function outcomesen_US
dc.typeArticleen_US

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