Mid-term outcome of patients with pelvic and acetabular fractures following internal fixation through a modified Stoppa approach


Published online: Dec 27 2013

Andris VIKMANIS, Ruta JAKUSONOKA, Andris JUMTINS, Zane PAVARE

From the Trauma and Orthopaedic Department, Clinic “Gailezers”, Riga Eastern Clinical University Hospital and Riga Stradins University, Riga, Latvia

Abstract

This retrospective study presents the mid-term outcome of polytrauma patients with pelvic ring and acetabular fractures operated using a modified Stoppa approach. We examined 32 patients (13 women and 19 men ; mean age 44 years) 24 to 40 months after the trauma. We performed a functional assessment of these patients using Majeed's score. Mean Majeed score was 86.9 ± 8.22 with a range from 70 to 100. Excellent clinical results were noted in 59% of cases (in 83% of pelvic fractures and 40% of acetabular fractures) and good clinical results in 41% (in 17% of pelvic ring fractures and 60% of acetabular fractures). Fracture healing with anatomical reduction was achieved in all pelvic ring fractures. Healing with anatomic or satisfactory reduction was achieved in 90% of the acetabular fractures.