A Retrospective and Prospective Analysis of Functional Outcome of Open reduction internal fixation of acetabular fixatures treated through Modified Rives-Stoppa’s Approach

Suresh Kumar, M (2015) A Retrospective and Prospective Analysis of Functional Outcome of Open reduction internal fixation of acetabular fixatures treated through Modified Rives-Stoppa’s Approach. Masters thesis, Madras Medical College, Chennai.

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Abstract

Acetabular fractures are increasing now a days due to non awareness of safety in automobile. Most common injuries are due to road traffic accidents. It is a high velocity injury. In this study we analysed the clinical outcome of Acetabular fracture treated through Modified Rives – Stoppa’s approach. This approach has less complications, as neuro vascular window and inguinal canal is not breached here. We analysed the outcome using merle D’ Aubigne score. We analaysed 10 cases out of 10 cases, 2 had excellent outcome 4 had good outcome and 3 had fair outcome. No poor outcome were encountered during our study we had a complication of DVT in 1 case which resolved after treatment through this approach, we are able to produce satisfactory outcome in acetabular fractures. CONCLUSION: In our short term study, we were able to produce satisfactory results with minimum complications in this new upcoming approach which is being widely practised throughout the world from 2010. Use of non extensile approaches have made surgery simple and reduced the complications. With improvement in surgical experience and earlier surgical intervention, we can produce better results in this new approach for anterior exposure of the acetabulum to treat complex acetabular fractures. Advantages of this approach: 1. We can avoid neurovascular complications by this new approach, 2. Quadrilateral surfaces can be addressed easily as the facture appears perpendicular to the plane of this approach, 3. Chances of better wound healing and avoidance of long scars, 4. Less chance of Heterotopic ossifications, 5. Chances of Inguinal hernia are less as inguinal canal is not breached in this approach. Disadvantages noted in this approach: 1. Articular surfaces cannot be visualized, 2. Certain comminuted anterior wall fractures will be difficult to deal in this approach. As told by Matta, every chance of reducing the fragments anatomically, fixing rigidly and mobilizing early must be done for better function. This can‟t be achieved by conservative means added to complications of immobilization. Anatomic restoration of joint will enable the patient to have a better quality of life and makes it easy for future reconstructive procedures in case of late complications.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Acetabulam ; Rives – Stoppa ; Merle D’ Aubigne.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 25 Sep 2017 01:03
Last Modified: 04 May 2018 16:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/3305

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