Stoppa Intrapelvic Approach Provides Good Functional Clinical Outcomes: Prospective Study with a Minimum Follow-up of One Year and Comparison with the Literature.
| Autor: | Tomazini GC; Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil., Uliana CS; Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil., Abagge M; Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil., Fiorentin HR; Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil., Azevedo AO; Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Universidade Federal do Paraná, Curitiba, PR, Brasil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2024 Jun 22; Vol. 59 (3), pp. e443-e448. Date of Electronic Publication: 2024 Jun 22 (Print Publication: 2024). |
| DOI: | 10.1055/s-0044-1785506 |
| Abstrakt: | 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. Competing Interests: Conflito de Interesses Os autores não têm conflito de interesses a declarar. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).) |
| Databáze: | MEDLINE |
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