The patient reports having a recent history of lower abdominal pain, and as part of the work-up a KUB radiograph was obtained. The patient had a transverse and posterior wall fracture according to the classification of Judet et al. They were surgically treated with THRA although the follow-up was relatively short. Related articles Acetabulum Acetabular fractures Ilioinguinal approach Stoppa approach. Just skip this one for now. In terms of blood loss and complications there was no difference between the ilioinguinal approach and the modified Stoppa approach. The average age of the patients, including 16 men and 6 women, was 45 years range, 20 to 74 years Table 1. This study retrospectively analyzed 20 patients with a minimum 2-year follow-up among the 22 patients with acetabular fractures who underwent operation via the modified Stoppa approach. The postoperative protocol was identical for both Group A and Group B.
It was revised for pelvic and acetabular surgery by Hirvensalo et al in During the Stoppa approach the surgeon must at all times protect the The surgeon stands on the opposite side to the fracture, with the scrub team behind them whole hemipelvis and overlaps centrally with the view from the Stoppa window.
Keywords: Acetabulum, Acetabular fracture, Stoppa approach in the acetabular weight-bearing area on the midsagittal view of CT (Fig.
1). PDF | Objective: Acetabular fractures pose a great surgical challenge for orthopedic trauma We believe that the Stoppa approach with an iliac. treatment of acetabular and pelvic ring In a 5-year review of 60 acetabular.
Stitches were removed at the end of the second week post-operatively. Fifteen out of the 18 patients who exhibited good and excellent results had anatomical reduction at the time of the operation.
A X-ray pelvis AP view of skeletally mature; B axial view of CT scan showing transverse variety of acetabular fracture; C coronal view showing the same configuration of fracture; D excellent pre-operative 3D CT scan; E post-operative X-ray pelvis AP view showing fracture reduction with reconstruction plate and screw.
acetabular fractures treatment muhammad abdelghani
Poor reduction was observed in a patient with fracture-dislocation of the hip joint. Surgical treatment of displaced acetabular fractures using a modified Stoppa approach.
Video: Stoppa approach acetabulum fractures ppt viewer Dr. Claude Sagi: Full Sequence, Anterior Intra-Pelvic Approach
Indian J Orthop ; 36 1 : The abdominal work-up was negative, and her pain has since resolved, however, the pediatrician noted an abnormal radiographic finding in the left hip and requested a formal orthopedic evaluation.
Stoppa approach acetabulum fractures ppt viewer
|Seventeen patients Hirvensalo et al.
In the 3 patients without anatomical reduction i. A X-ray pelvis AP view of skeletally mature; B axial view of CT scan showing transverse variety of acetabular fracture; C coronal view showing the same configuration of fracture; D excellent pre-operative 3D CT scan; E post-operative X-ray pelvis AP view showing fracture reduction with reconstruction plate and screw. Operative treatment of acetabular fractures through the ilioinguinal approach: a year perspective.
Modified Stoppa Approach for Surgical. Treatment of Acetabular Fracture. Ha Yong Kim, MD, Dae Suk Yang, MD, Chang Kyu Park, MD, Won Sik Choy, MD. ment of acetabular fractures. They The Stoppa approach is used in the repair of fractures.
Modified Stoppa Approach for Fractures of the Acetabulum Cyril Mauffrey, MD on Vimeo
The AIP approach is par- ticularly useful for fractures that in- volve the surgeon's view through the treatment of recent fractures of the ac.
This is a relatively short-term follow-up study, and a long-term follow-up is necessary to accurately evaluate the occurrence of posttraumatic arthritis, especially in the cases graded as type I or II.
In: Elson RA, editor. The use of Dacron in the repair of hernias of the groin. External link. A X-ray pelvis AP view of skeletally mature; B axial view of CT scan showing transverse variety of acetabular fracture; C coronal view showing the same configuration of fracture; D excellent pre-operative 3D CT scan; E post-operative X-ray pelvis AP view showing fracture reduction with reconstruction plate and screw.
Preoperative Assessment and Management Simple anteroposterior radiographs of the obturator foramen and iliac wing, inlet-outlet views of the pelvis, and computed tomography CT images were taken in the emergency room as long as the systemic status of the patients allowed their acquisition. Table 1: Harris hip score of patients.
BLUTORANGEN REZEPTE MUFFINS
|The approach to be selected should provide a sufficient angle of visualization, allow anatomic reduction, and to permit control of the fracture area.
Free Article! The abdominal work-up was negative, and her pain has since resolved, however, the pediatrician noted an abnormal radiographic finding in the left hip and requested a formal orthopedic evaluation. The corona mortis artery joins the external illiac artery with which other major artery? It is currently used successfully in anterior column fractures and increasingly in combinations Fig.
incision and intraoperative view of the modified Stoppa approach, corona mortis is seen. Acetabulum fractures can involve one or more of the two columns, two walls or roof "gull sign" on obturator oblique view treatment based on size of posterior wall is controversial; recommend an exam Modified Stoppa Approach topic.
Modified Stoppa Approach for Surgical Treatment of Acetabular Fracture
Indications. acetabular fractures; pelvic ring injuries. Approach provides access to. pubic body; superior pubic ramus; pubic root.
The modified Stoppa approach to the anterior pelvis was used in 22 cases instead of the ilioinguinal approach, which is the most widely used anterior approach.
Acetabular Fractures Trauma Orthobullets
Comparison of acetabular fracture reduction quality by the ilioinguinal or the anterior intrapelvic modified Rives—Stoppa surgical approaches. Complications and Accompanying Injuries Complications that can accompany acetabular fractures include ectopic bone formation, traumatic arthritis, nerve injury, infection, avascular necrosis of the femoral head, intra-articular screw placement, hip joint subluxation as well as non-union.
Post-operatively, crutches were used for 6 weeks and then a single crutch for a further 6 weeks.
Preliminary report. Anterior wall.
Stoppa approach acetabulum fractures ppt viewer
|With the recent increase in high-energy injuries, there is a tendency for gradual increase in comminuted fractures of the acetabulum rather than a simple fracture with one or two bony fragments.
Complications A total of 19 complications were observed in 13 patients Table 6. On approaching the inside of the pelvis, corona mortis was identified and ligated first and subperiosteal dissection was performed along the pelvic brim to expose the fracture fragments.
Access Statistics. The authors declare that they have no conflicts of interest concerning this article. What is the most appropriate definitive treatment for this patient?
Video: Stoppa approach acetabulum fractures ppt viewer The Modified Stoppa Approach in the Treatment of a T shaped Acetabular Fracture Surgical Video Tech