Acetabulum fractures Acetabulum fractures pararectus approach modified Stoppa approach clinical results
Conditions
Interventions
pararectus approach is surgical approach for acetabular fixation ,
landmark for incision were navel ,
ASIS and symphysis.
The extraperitoneal space was entered then neuromuscular structures were identified before approach to bony fixation.,pararectus approach is another surgical approach for acetabula
andmark for incision were symphysis.
The retropubic space was entered then spermatic cord the external iliac vessels and the iliopsoas muscle are identified before fracture fixation.
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Pararectus approach ,modified Stoppa approach
Sponsors
Rajavithi hospital
Rajavithi hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age ≥ 18 years 2. Acetabular fractures that were considered preoperatively to be fully treated through an intrapelvic approach 2.1anterior column fractures 2.2 anterior wall fractures 2.3 anterior column with posterior hemitransverse fractures 2.4 transverse fractures 2.5 T-shaped fractures both column fractures
Exclusion criteria
Exclusion criteria: 1.Preexisting ipsilateral hip diseases 2. Fractures needed fixation via Kocher- Langenbeck approach: posterior column fractures 3.posterior wall fractures 4.Bilateral acetabular fracture 5.Time from injury to operation > 14 days 6. BMI > 30 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative accuracy of reduction post operative in same admissions CT classification of rating by Matta | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional score at 1 year after intervention Merle d’Aubigne and Postel grading ,Radiographic outcome at 1 year after intervention Radiographic outcome ( grading according to Matta) | — |
Contacts
Public ContactRukthanin Ruktrakul
Rajavithi hospital
Outcome results
None listed