AI Article Synopsis
Article Abstract
Background: The Smith-Peterson approach and its modifications provide an extensive exposure and allow osteotomies through a single incision. However, the risk of complications increases when the quadrilateral surface, ischial and pubic osteotomy sites cannot be seen. This study aimed to evaluate the surgical characteristics, complications, and functional and radiological outcomes of patients with acetabular dysplasia who underwent Bernese periacetabular osteotomy (PAO) through modified Stoppa approach and plate-screw fixation.
Methods: The study included 31 patients (41 hips) who had undergone PAO using a modified Stoppa approach. The characteristics of patients and the surgical procedure were described. The lateral centre-edge angle (LCEA) and Tönnis roof angle were evaluated in the radiological outcome evaluation. The modified Harris Hip Score (mHHS) was used to evaluate functional outcome. Furthermore, complications were described.
Results: The mean age of the patients was 20.4 ± 9.0 years. Of the 31 patients, 21 underwent unilateral Bernese PAO and 10 underwent bilateral Bernese PAO. The mean follow-up period was 25.1 ± 8.8 months. Postoperatively, the mean mHHS improved significantly (68.8 ± 9.4 vs. 88.8 ± 10.0, < 0.001). Postoperatively, the mean LCEA and Tönnis roof angle improved significantly (17.7 ± 6.0 vs. 42.2 ± 4.8, < 0.001 for LCEA and 18.3 ± 5.5 vs. 8.0 ± 2.2, < 0.001 for Tönnis roof angle). There was no significant correlation between preoperative to postoperative improvement in LCEA or Tönnis roof angle and improvement and mHHS ( > 0.005). 5 complications were identified: 1 transient sciatic nerve palsy, 1 external iliac vein injury, 1 infection, and 2 screw irritations of acetabulum.
Conclusions: Performing Bernese PAO through a modified Stoppa approach with plate-screw fixation results in acceptable complication rates, immediate early weight-bearing opportunity, and improved functional and radiological outcomes in patients with acetabular dysplasia.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/11207000241280951 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Survivorship of hip after acetabulum fracture fixation - Analysing risk factors associated with early THR.
J Clin Orthop Trauma
February 2025
Department of Orthopaedics, Mahatma Gandhi University of Medical Sciences and Technology, India.
Introduction: Acetabular fracture fixation principles stated by Letournel and Judet have contributed significantly towards advancement in treatment methodologies. Current day techniques helps to achieve anatomical reduction, still post-traumatic arthritis ensues in some patients. A meta-analysis by Giannoudis et al.
View Article and Find Full Text PDFThe intrapelvic approach to the acetabulum.
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedics and Traumatology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
The today well accepted intrapelvic approach for acetabular and pelvic ring injury fixation was first described by Hirvensalo and Lindahl in 1993 followed by a more detailed description by Cole and Bolhofner in 1994. Compared to the well-known ilioinguinal approach, described by Letournel, this approach allows an intrapelvic view to the medial acetabulum, while using the ilioinguinal approach a more superior, extrapelvic view, is dissected to the area of the acetabulum. Several names have been used to describe the new intrapelvic approach with increasing usage, mainly ilio-anterior approach, extended Pfannenstiel approach, Stoppa-approach, Rives-Stoppa approach, modified Stoppa approach and recently anterior intrapelvic approach.
View Article and Find Full Text PDFArticle Synopsis
- * Most patients (69.2%) experienced pain due to infections or osteoarthritis, with various fracture types being treated through different surgical approaches, primarily the modified Stoppa.
- * Despite a mean follow-up of 11.3 months showing decreased pain levels (VAS score from 6 to 1), the procedure carried significant complication risks, with intraoperative (30.8%) and postoperative (38.5%) issues reported, highlighting the need for experienced surgical teams.
Triple Pelvic Osteotomy for Hip Dysplasia: The Akbulut-Coskun Technique Using a Modified Stoppa Approach.
J Pediatr Orthop
November 2024
Department of Orthopedics and Traumatology, Medicalpark Hospital, Bursa, Turkey.
Background: Many successful osteotomies have been reported for the treatment of acetabular dysplasia. However, triple pelvic osteotomy remains a technically challenging procedure with potential for significant complications. This study examined a series of Tönnis periacetabular osteotomy (TPAO) procedures performed using the modified Stoppa approach to treat acetabular dysplasia in adolescents.
View Article and Find Full Text PDFA study of the incidence of the corona mortis within a South African patient sample using computerized tomographic angiography.
Injury
December 2024
Department of Anatomy, Faculty of Health Sciences, School of Medicine, University of Pretoria, Gauteng, 9 Bophela Road, South Africa. Electronic address:
Introduction: Retropubic hematomas are a common development in cases of pelvic ring trauma and post- operative repair of fractures to the anterior column of the pelvis. Early detection and diagnosis of such events using computed tomography angiography (CTA) are critical for successful intervention and patient recovery, especially when bleeding is a result of injury to the corona mortis (CM). The CM is the communication between the obturator vessels and the external iliac vessels typically via an accessory obturator vessel.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!