Clinical and Radiological Early Results of Acetabulum Fractures Operated with the Modified Stoppa Approach
Journal Title: The Medical Bulletin of Haseki - Year 2020, Vol 58, Issue 5
Abstract
Aim: To evaluate the follow-up results of patients hospitalized for acetabular fractures and treated with the modified Stoppa approach. Methods: Records of fifty-two Acetabula from 48 patients who were followed up for at least six months between 2016 and 2019 were retrospectively analyzed. All fractures were classified according to the Judet-Letournel classification along with direct X-rays and 3D computed tomography findings. The postoperative reduction quality and radiological assessments during follow-up visits were evaluated according to Matta’s reduction quality criteria and Matta’s radiological scoring system. The clinical outcomes were analyzed using the modified Merle d’Aubigné scoring system. Results: The mean follow-up period of 48 patients included in the study was 9.72 (6-26) months. Excellent clinical results were obtained in 38 acetabula (73%). A significant correlation was found between the reduction quality assessment performed on the postoperative X-rays and the clinical outcome (p=0.002). At the same time, there was a significant correlation between Matta’s radiological criteria and clinical outcomes (p<0.001). Conclusion: This study shows that reduction quality in acetabular fractures and anatomical reduction done with stable fixation under optimal conditions is strongly associated with clinical outcomes.
Authors and Affiliations
Nevzat Gönder, Günhan Karakurum, Burçin Karslı, Toktamış Savaş, Nurcihan Yavuz Savaş
Keywords
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- EP ID EP691512
- DOI 10.4274/haseki.galenos.2020.6401
- Views 91
- Downloads 0
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