Retrospective study of 16 acetabular fractures with involvement of the quadrilateral plate treated with an anterior intrapelvic modified Rives-Stoppa approach

• Published in: Revista española de cirugía ortopédica y traumatología (English ed.) Vol. 63; no. 6; p. 416
• Main Authors: Andrés-Peiró, J V, Teixidor-Serra, J, Tomás-Hernández, J, Guerra-Farfán, E M, Selga-Marsà, J, Porcel-Vázquez, J A, Molero-García, V
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 01-11-2019
• Subjects: Acetabulum - anatomy & histology; Acetabulum - injuries; Acetabulum - surgery; Adult; Aged; Aged, 80 and over; Female; Fractures, Bone - surgery; Humans; Male; Middle Aged; Orthopedic Procedures - methods; Retrospective Studies; Quadrilateral plate; Traumatismo; Abordaje anterior intrapélvico; Rives-Stoppa; Acetabular fracture; Anterior intrapelvic approach; Stoppa; Lámina cuadrilátera; Fractura acetabular; Trauma
• ISSN: 2173-576X
• DOI: 10.1016/j.recot.2019.06.003

To report our experience with the use of Stoppa approach for fractures of the acetabulum with quadrilateral plate involvement.
Retrospective study; level iv. All patients were operated in a third level trauma center. The surgical team was experienced in the management of pelvic fractures. Data about patients, injuries, treatment features and clinical and radiological results were collected. We performed a statistical analysis; both descriptive and analytical.
16 patients integrated the sample. 15 suffered associated fracture patterns. Anatomical plates were used in 15. Four required extended approaches. Reduction was anatomical in 9. 7 suffered some complication, needing the additional surgical procedures in 4. The surgical site infection rate was particularly high, appearing in 3.
Radiological results were within the previously reported. We had a high complication rate, particularly infection. This outcome may be influenced by the special complexity of our cases and the adaptation process to a new technique.
Using the Stoppa approach we achieved lots of good or anatomical reductions. However, is an exigent and not without complications technique.