Internal Fixation of Unstable Pelvic Ring Injuries via the Modified Stoppa Approach
Journal Title: Malaysian Orthopaedic Journal - Year 2011, Vol 5, Issue 1
Abstract
Background: The modified Stoppa approach was first described in 1993 by Hirvensalo as an alternative to the ilioinguinal approach for treatment of pelvic ring fracture. Methods: This is a retrospective study of 5 patients with unstable pelvic fracture treated with internal fixation using the modified Stoppa approach. Residual displacement of the pelvic ring was measured and graded using the methods described by Matta and Lindahl. Functional outcomes were assessed using the modified Merle D’ Aubigne and Postel Hip scoring system. Results: Of all patients with Type C pelvic injury, three had concomitant acetabular fracture. The mean Injury Severity Score (ISS) score was 39. Anatomic reduction of the pelvic ring was achieved in 3 patients and good reduction in 2 patients. Three patients had good functional outcomes. One patient had superficial wound infection. Three patients had erectile dysfunction. Conclusion: The modified Stoppa approach is appropriate for internal fixation of unstable pelvic ring injury.
Authors and Affiliations
TK Ong, EH Khoo, Z Osman
Keywords
Related Articles
- EP ID EP301787
- DOI -
- Views 121
- Downloads 0
Causative Factors for Femoral Pin Track Fractures in Navigated Total Knee Arthroplasty
This retrospective radiographic analysis of 57 patients (62 knees) examined two possible factors involved in pin tract fractures of the femur due to navigated total knee arthroplasty (TKA): the angle of the tracker pin w...
A Simple Cable Method for Intraoperative Limb Alignment Assessment
The Limb Lengthening and Reconstruction Surgery (LLRS) unit of University Malaya Medical Centre devised a cable method to assess the mechanical axis alignment intraoperatively.
A Prospective Comparative Study of Reamed vs. Unreamed Nailing in Fractures Shaft of Tibia
Background: Although the tibia is one of the most commonly fractured long bones in the body, there are two accepted management techniques: reamed and unreamed nailing. There is not a general consensus as to which techniq...
Neurosurgical Operative Atlas. Spine and Peripheral Nerves (3rd edition)
This book is recommended for those who are committed to understand and improve their basic surgical skills, minimizing surgical complications and improve the patients’ outcome. It may provide some assistance to those who...
Giant Solitary Forearm Exostosis in A Child
Forearm deformity secondary to giant solitary ulna exostosis is rare. We describe a rare presentation of symptomatic solitary giant exostosis involving the entire distal ulna resulting in ulnar bowing of the forearm in a...