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Abstract：
Objective To describe the clinical and radiographic outcomes of a cohort of patients with acetabular fractures treated with the modified Stoppa approach. Methods We conducted a prospective analysis of adult patients with acetabular fractures treated using the modified Stoppa approach from June 2020 to June 2021, with a minimum follow-up period of 12 months. The analysis included demographic, epidemiological, and perioperative data, as well as postoperative radiographic and functional outcomes. Results The study included 15 cases, with 14 men (93.3%) and 1 woman (6.67%). A postoperative tomographic evaluation revealed an anatomical reduction in 50%, an imperfect reduction in 13.6%, and a poor reduction in 36.4% of the subjects. Regarding the functional scores, the Harris Hip Score ranged from 56 to 100, with a mean value of 92.5. The Majeed Pelvic Score classified the functional outcome as excellent in 36.5%, good in 40.6%, moderate in 18.7%, and poor in 4.2% of the cases. Conclusion The present case series study demonstrated positive statistical relevance between reduction quality and functional outcomes and between the time until surgery and the reduction quality. The functional outcomes at a one-year of follow-up demonstrate that this approach can be an excellent alternative for anterior acetabulum fractures.
摘要：
目的描述采用改良Stoppa入路治疗髋臼骨折患者的临床和影像学结果。方法对2020年6月至2021年6月采用改良Stoppa入路治疗的成人髋臼骨折患者进行前瞻性分析，最短随访时间为12个月。分析包括人口统计，流行病学,围手术期数据，以及术后影像学和功能结果。结果本研究共15例,男性14人（93.3%），女性1人（6.67%）。术后断层评估显示解剖减少了50％，13.6%的不完美下降，36.4％的受试者减少得很差。关于功能分数，Harris髋关节评分为56~100分,平均值为92.5.Majeed骨盆评分将功能结局分为36.5％，40.6%良好，18.7%中等，在4.2%的病例中表现不佳。结论本病例系列研究表明，复位质量与功能结局之间以及手术时间与复位质量之间存在正统计学相关性。在一年的随访中的功能结果证明，这种方法可以是髋臼前骨折的极好替代方法。
