AI Article Synopsis
- - The study compares two surgical methods for treating acetabular fractures: the ilioinguinal approach (IA) and the modified Stoppa approach (MSA), focusing on their effectiveness and outcomes.
- - Findings reveal that the MSA resulted in significantly less blood loss during surgery (404.36 vs. 650.92 ml) and a shorter duration (average 141.88 min vs. 172.24 min), although both approaches had similar infection rates and nerve injury incidences.
- - The conclusion indicates that the MSA is the preferred method due to its advantages in blood loss, but further research is needed to confirm these results.
Article Abstract
Background: Acetabulum fractures pose significant challenges in orthopedic trauma due to anatomical complexity and the potential for iatrogenic injury to surrounding structures. The study aims to compare the outcomes of two surgical approaches, the ilioinguinal approach (IA) and the modified Stoppa approach (MSA), in managing acetabular fractures.
Methods: A retrospective cohort study was conducted on 50 patients with anterior acetabular fractures. Demographic characteristics and perioperative data were collected, and the patients were categorized based on the applied surgical approach, either IA or MSA. Statistical tests were used for data analysis.
Results: The MSA group showed significantly lower intraoperative blood loss compared to IA (MSA: 404.36 ± 151.94 ml, IA: 650.92 ± 136.33 ml, Δ = 246.56 ml, P < 0.001). The mean procedure duration for MSA was 141.88 ± 27.12 min, compared to 172.24 ± 32.69 min for IA (P = 0.37). The incidence of soft tissue infection (MSA: 8 %, IA: 8 %) and sciatic nerve injury (both 0 %) exhibited no significant differences (P > 0.99). Postoperative assessments, Harris Hip Scores (MSA: 90.08 ± 6.26, IA: 89.29 ± 6.64, P = 0.66) and Modified Merle d'Aubigné Scores (MSA: 14.86 ± 1.37, IA: 15.23 ± 1.16, P = 0.40), showed no substantial variance between groups.
Conclusion: The study suggests that the MSA approach demonstrated superiority, particularly due to significantly less intraoperative blood loss. Further comprehensive studies are recommended to validate and generalize these findings.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472015 | PMC |
| http://dx.doi.org/10.1016/j.jor.2024.05.003 | DOI Listing |
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