PDF(Pubmed)
Abstract：
UNASSIGNED: Displaced acetabular fractures are complex injuries that necessitate precise surgical intervention. Obturator nerve injuries occur in approximately 2% of cases. The modified Stoppa approach, offering enhanced exposure of the quadrilateral plate, has gained attraction as an alternative technique for anterior acetabular fractures. However, its proximity to the obturator nerve poses a risk of iatrogenic injury. This study aimed to investigate the incidence of nerve injuries and functional outcomes in patients undergoing the modified Stoppa approach for traumatic acetabular fractures.
UNASSIGNED: This retrospective study involved 86 patients with anterior column fractures, whose data were prospectively collected. The fractures were treated using the modified Stoppa approach. Exclusion criteria were pathological fractures, alternative surgical approaches, prior nerve injuries, hip issues, refusal to participate, or inadequate follow-up. Data collection involved pre-operative imaging, thorough post-operative neurological assessments, and post-operative radiographic evaluation. Functional outcomes were assessed using the Harris Hip Score (HHS).
UNASSIGNED: Most patients were male (n=54) with a mean age of 40±17.3 years. Post-operative infection occurred in six cases, with resolution in four through antibiotics and two necessitating device removal. Obturator nerve damage was detected in 14 patients, comprising nine traumatic and five iatrogenic cases. During the follow-up, symptoms improved in all patients, except for the four patients with iatrogenic nerve damage.
UNASSIGNED: Traumatic nerve injuries generally heal naturally over time. In contrast, iatrogenic injuries have a less optimistic prognosis, potentially resulting in lasting neurological deficits.
UNASSIGNED: This retrospective study involved 86 patients with anterior column fractures, whose data were prospectively collected. The fractures were treated using the modified Stoppa approach. Exclusion criteria were pathological fractures, alternative surgical approaches, prior nerve injuries, hip issues, refusal to participate, or inadequate follow-up. Data collection involved pre-operative imaging, thorough post-operative neurological assessments, and post-operative radiographic evaluation. Functional outcomes were assessed using the Harris Hip Score (HHS).
UNASSIGNED: Most patients were male (n=54) with a mean age of 40±17.3 years. Post-operative infection occurred in six cases, with resolution in four through antibiotics and two necessitating device removal. Obturator nerve damage was detected in 14 patients, comprising nine traumatic and five iatrogenic cases. During the follow-up, symptoms improved in all patients, except for the four patients with iatrogenic nerve damage.
UNASSIGNED: Traumatic nerve injuries generally heal naturally over time. In contrast, iatrogenic injuries have a less optimistic prognosis, potentially resulting in lasting neurological deficits.
摘要：
■移位的髋臼骨折是复杂的损伤，需要精确的手术干预。闭孔神经损伤发生在大约2%的病例中。改进的Stoppa方法，提供四边形板的增强曝光，作为髋臼前骨折的替代技术获得了吸引力。然而,它靠近闭孔神经会带来医源性损伤的风险。本研究旨在探讨改良Stoppa入路治疗创伤性髋臼骨折患者的神经损伤发生率和功能预后。
■这项回顾性研究涉及86例前柱骨折患者，他们的数据是前瞻性收集的。骨折采用改良Stoppa入路治疗。排除标准为病理性骨折,替代手术方法，之前的神经损伤,臀部问题,拒绝参与,或后续行动不足。数据收集涉及术前成像，彻底的术后神经评估，和术后影像学评估。使用Harris髋关节评分（HHS）评估功能结果。
■大多数患者为男性（n=54），平均年龄为40±17.3岁。术后感染6例,分辨率在四个通过抗生素和两个必需的设备移除。14例患者发现闭孔神经损伤,包括9例创伤性病例和5例医源性病例.在后续行动中,所有患者的症状都得到了改善，除了4例医源性神经损伤患者.
■创伤神经损伤通常随时间自然愈合。相比之下,医源性损伤的预后不太乐观，可能导致持久的神经功能缺损。
■这项回顾性研究涉及86例前柱骨折患者，他们的数据是前瞻性收集的。骨折采用改良Stoppa入路治疗。排除标准为病理性骨折,替代手术方法，之前的神经损伤,臀部问题,拒绝参与,或后续行动不足。数据收集涉及术前成像，彻底的术后神经评估，和术后影像学评估。使用Harris髋关节评分（HHS）评估功能结果。
■大多数患者为男性（n=54），平均年龄为40±17.3岁。术后感染6例,分辨率在四个通过抗生素和两个必需的设备移除。14例患者发现闭孔神经损伤,包括9例创伤性病例和5例医源性病例.在后续行动中,所有患者的症状都得到了改善，除了4例医源性神经损伤患者.
■创伤神经损伤通常随时间自然愈合。相比之下,医源性损伤的预后不太乐观，可能导致持久的神经功能缺损。
