%0 Journal Article
%T Retrospective study of 16 acetabular fractures with involvement of the quadrilateral plate treated with an anterior intrapelvic modified Rives-Stoppa approach.
%A Andrés-Peiró JV
%A Teixidor-Serra J
%A Tomás-Hernández J
%A Guerra-Farfán EM
%A Selga-Marsà J
%A Porcel-Vázquez JA
%A Molero-García V
%J Rev Esp Cir Ortop Traumatol (Engl Ed)
%V 63
%N 6
%D Nov 2019 0
%M 31521581
暂无%R 10.1016/j.recot.2019.06.003
%X <B>OBJECTIVE: </B>To report our experience with the use of Stoppa approach for fractures of the acetabulum with quadrilateral plate involvement.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.<BR><B>UNASSIGNED: </B>Using the Stoppa approach we achieved lots of good or anatomical reductions. However, is an exigent and not without complications technique.