关键词: Abordaje anterior intrapélvico Acetabular fracture Anterior intrapelvic approach Fractura acetabular Lámina cuadrilátera Quadrilateral plate Rives-Stoppa Stoppa Trauma Traumatismo

Mesh : Acetabulum / anatomy & histology injuries surgery Adult Aged Aged, 80 and over Female Fractures, Bone / surgery Humans Male Middle Aged Orthopedic Procedures / methods Retrospective Studies

来  源:   DOI:10.1016/j.recot.2019.06.003

Abstract:
OBJECTIVE: To report our experience with the use of Stoppa approach for fractures of the acetabulum with quadrilateral plate involvement.
METHODS: Retrospective study; level iv. All patients were operated in a third level trauma center. The surgical team was experienced in the management of pelvic fractures. Data about patients, injuries, treatment features and clinical and radiological results were collected. We performed a statistical analysis; both descriptive and analytical.
RESULTS: 16 patients integrated the sample. 15 suffered associated fracture patterns. Anatomical plates were used in 15. Four required extended approaches. Reduction was anatomical in 9. 7 suffered some complication, needing the additional surgical procedures in 4. The surgical site infection rate was particularly high, appearing in 3.
CONCLUSIONS: Radiological results were within the previously reported. We had a high complication rate, particularly infection. This outcome may be influenced by the special complexity of our cases and the adaptation process to a new technique.
UNASSIGNED: Using the Stoppa approach we achieved lots of good or anatomical reductions. However, is an exigent and not without complications technique.
摘要:
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