Clinical observation of modified Stoppa and ilioinguinal approach for the acetabular fractures
CHEN Dong1 ZHU Feng2 GONG Jie1 DI Dechun3 WANG Dechao4
1.Department of Orthopedics, Suzhou Xiangcheng People’s Hospital, Jiangsu Province, Suzhou 215000, China;
2.Department of Joint Surgery, the First Affiliated Hospital of Suzhou University, Jiangsu Province, Suzhou 215000, China;
3.Institute of Orthopedics, the First Affiliated Hospital of Suzhou University, Jiangsu Province, Suzhou 215000, China;
4.the Fifth Department of Orthopedics, the Second Affiliated Hospital of Luohe Medical College, He’nan Province, Luohe 462300, China
Abstract：Objective To observe the clinical value of modified Stoppa and ilioinguinal approach in the treatment of acetabular fractures. Methods A total of 72 patients with acetabular fractures admitted to Suzhou Xiangcheng People’s Hospital, Jiangsu Province from May 2014 to September 2018 were selected as the study subjects, and they were divided into observation group and control group by random number table method, with 36 cases in each group. The control group was treated with ilioinguinal approach for fracture reduction, while the observation group was treated with modified Stoppa approach for fracture reduction. The operative time, intraoperative bleeding volume, incision length and hospitalization time were recorded. Matta imaging assessment criteria and Matta function score criteria were used to evaluate the reduction quality and hip function of the two groups at two months after operation, respectively. The levels of interleukin-6 (IL-6), C-reactive protein (CRP) and procalcitonin (PCT) in the serum of the two groups were measured one day before operation and one week after operation. The occurrence of lateral femoral cutaneous nerve injury, sciatic nerve injury, incision infection and traumatic arthritis were calculated. Results The operation time, intraoperative bleeding volume, incision length and hospitalization time in the observation group were lower than those in the control group, the differences were statistically significant (all P ＜ 0.05). There was no statistically significant difference between the two groups in satisfaction rate of reduction and excellent rate of hip joint function (P ＞ 0.05). The postoperative serum levels of IL-6, CRP and PCT in the two groups were all higher than those before surgery, and the differences were statistically significant (all P ＜ 0.05). The postoperative serum levels of IL-6, CRP and PCT in the observation group were all lower than those in the control group, and the differences were statistically significant (all P ＜ 0.05). The incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The modified Stoppa approach has the same efficacy as the ilioinguinal approach in the operation of hip fracture patients, but the former has more obvious advantages of minimally invasive, which can reduce the risk of inflammation in patients, reduce the incidence of adverse reactions, and provide better safety.
2021, Vol. 18 
京公网安备 11010502046598号