| Objective:The aim of our study was to compare the clinical effects of modified Stoppa approach and Ilioinguinal approach in the treatment of acetabular fractures.Methods:The clinical data of acetabular fractures treated by anterior approach in our hospital from January 2011 to August 2016 were retrospective reviewed and analyzed.A total of 34 cases were included,male 22 cases,female 12 cases,the average age was 46.0 years.The patients were divided into Stopa approach group(group A)and Ilioinguinal approach group(group B).There are 16 patients enrolled in group A,1 patient was treated with anterior iliac incision as the assistant approach,7 patients were treated with iliac crest incision for the iliac wing fracture.A total of 18 cases were treated with Ilioinguinal approach,and 16 cases were randomly selected as group B.K-L approach were performed in 4 cases to fix the posterior column or posterior wall,1 patient was treated with iliac crest incision as assistant approach,and the posterior hip incision was performed in 1 case to fix the sacroiliac joint.There was no significant difference between the two groups in gender,age,cause of injury,type of fracture,combined injure,the time between injury and operation time.So clinical outcomes included length of incision,operation time,intraoperative blood loss,volume of drainage,Matta score,Harris score at 3,6 and 9 months after operation were compared.Results:1.The operation time,bleeding volume,volume of drainage,length of stay were similar between the two groups(P>0.05).2.The incision length of the modified Stoppa approach group was shorter than the Ilioinguinal approach group,the difference showed statistical significance(P<0.05).3.The postoperative Matta scores was similar between the two groups(P>0.05),but the satisfaction rate of the modified Stoppa group was higher than the inguinal approach group.4.There was no statistical significance in the Harris score of the 3,6 and 9 month(P>0.05).But,in 6 and 9 month,the good rate of modified Stoppa group was significantly higher than the Ilioinguinal approach group..5.There was 1 case of incision infection,1 case of incision fat liquefaction in the improved Stoppa approach group.And in lioinguinal group,there was 1 case of traumatic arthritis,1 cases of femoral head necrosis.Conclusion:1.Both of modified Stoppa approach and the Ilioinguinal approach could achieve good clinical efficacy in treatment of acetabular fractures.2.But the modified Stoppa approach has the advantages of smaller incision length,adjacent tissue damage,better exposure,direct viewing quadrilateral area,accurate reliable quality reduction of fracture,better recovery of joint function,and less traumatic arthritis disease. |
