改良腹直肌旁入路与改良Stoppa入路治疗髋臼骨折临床疗效比较

doi:10.13418/j.issn.1001-165x.2023.5.18

Abstract

Abstract: Objective To investigate the clinical effect of the modified Stoppa approach and modified pararecutus abdominis approach in the treatment of acetabular fractures. Methods A retrospective study was performed to analyze the clinical data of 22 operated patients with acetabular fractures in our hospital from January 2020 to January 2022. Among them, 13 cases were operated with the modified pararecutus abdominis approach (experimental group) and 9 cases were operated with the modified Stoppa surgical approach (control group). The gender, age, time from injury to operation, fracture typing, operation time, blood loss during operation, postoperative Matta score and hip function score were recorded and compared between the two groups. Results The general preoperative data of the two groups were not statistically significant (P>0.05) and were comparable. There was no significant difference in the rate of excellent quality of fracture reduction and the rate of excellent hip function between the two groups (P>0.05). In the control group, the operative time was (175.00±59.28) min, and the intraoperative blood loss was (403.33±98.62) ml. The operative time of the experimental group was (124.54±52.21) min and the intraoperative bleeding was (318.46±65.68) ml, both were better than those of the control group (P<0.05). Conclusions Compared with the modified Stoppa surgical approach, surgical treatment of acetabular fractures with the modified pararecutus abdominis approach reduces operative blood loss and operative time . It is a reliable treatment for pelvic acetabular fractures through the anterior approach.

Key words: Acetabulum; , , Fracture; , Fracture internal fixation; , Modified pararecutus abdominis approach

CLC Number:

R682.4

Yang Hua, Xiang Lei, Jiang Hongbing, Hu Bingbing, Zeng Canjun, Zhang Bin, Liu Wei. Comparison of clinical efficacy of modified Stoppa approach and modified pararecutus abdominis approach in the treatment of acetabulum fractures[J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 603-607.

References 20

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Comparison of clinical efficacy of modified Stoppa approach and modified pararecutus abdominis approach in the treatment of acetabulum fractures

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