Results of Modified Stoppa Approach Versus Ilioinguinal Approach in Management of Traumatic Acetabular Fractures

Abstract

 Ilioinguinal & modified stoppa approaches remain the most commonly used procedures in management of anterior acetabular fractures with satisfactory outcomes, however, it was concluded that the modified stoppa approach is preferred recently over the ilioinguinal approach which is attributed to its advantages of shorter operative time, relatively less amount of blood loss & blood transfusion requirements, better exposure & relatively lower risk of intraoperative neurovascular injury, higher rates of anatomical reduction with allowing proper reduction & fixation of additional posterior column & quadrilateral plate fractures while the surgeon is standing on the opposite side of the fracture permitting proper visualization of the fracture site, also it is a less invasive approach that avoids opening in the inguinal canal, dissection around the femoral & lymphatic vessels, wider visualization & easier identification & ligation of the corona mortis.  However there were no significant differences in terms of postoperative deep venous thrombosis & pulmonary embolism between both approaches & also in terms of final clinical outcome assessment. Future studies are needed to study the effect of choice of the surgical approach on the postoperative complications & on the final clinical outcome of the patient & proving if either approach directly improves either outcomes or being more influenced by other parameters.  Finally it should be noticed that the orthopaedic surgeon