Comparison of Therapeutic Effects of Modified Stoppa Approach and Rectus Lateral Approach on Treating Pelvic Acetabular Fractures

Abstract Objective To investigate the effect of modified Stoppa approach and lateral rectus abdominis in the treatment of pelvic acetabular fractures.Methods The clinical data of 30 patients with acetabular fractures with ipsilateral pelvic fractures were collected from March 2010 to August 2017. Fifteen patients were treated with modified Stopp incision approach (group A) Abdominal rectus lateral incision approach (group B). According to the surgical approach were divided into group A and group B, 15 cases, A group improved Stoppa approach, B rectus abdominis lateral approach.Results Compared with Stoppa approach, the operation time, intraoperative blood loss and postoperative drainage volume (P <0.05) were obtained by lateral rectus incision. There was no significant difference between the two surgical groups in terms of postoperative complications and fracture reduction. But the rectus abdominis lateral incision approach can fully reveal the acetabular anterior column and the quadratic body, can face under the reduction and fixation of the acetabular fracture sacroiliac joint and iliac crest fractures, and surgery revealed simple, less damage, less surgical complications.Conclusions The rectus abdominis lateral incision approach is the treatment of pelvic and acetabular fractures, especially with sacroiliac joint iliac crest fractures in the ideal surgical approach.