The Stoppa approach versus the ilioinguinal approach for anterior acetabular fractures: A case control study assessing blood loss complications and function outcomes

Abstract

Level III retrospective case control study.

Anterior intra-pelvic approach and corona mortis vascular anastomoses: A clinical anatomical study shows high frequency

“…In a series of 55 cases, Cole and Bolhofner 3 , who first defined the AIP approach, first reported that anatomic vascular blockage related to the technique was anastomosis between the obturator vessels and the inferior epigastric artery and these anastomoses are often to be found but they are sometimes of different dimensions. From clinical studies, Cole and Bolhofner 3 who first described the technique and Elmadağ, Güzel et al 9 determined CMVA in every case at rates similar to those of the current study. There are angiographic studies of corona mortis in literature, but angiographic studies only evaluate arterial anastomoses and do not give information about venous connections 16,24 .…”

“…When clinical studies are examined, Elmadağ, Güzel et al 9 determined CMVA in all of 17 acetabular fractures operated on with the AIP approach, 70.6% of which were reported as venous and 29.4% as arterial CMVA. In a series of 55 cases, Cole and Bolhofner 3 , who first defined the AIP approach, first reported that anatomic vascular blockage related to the technique was anastomosis between the obturator vessels and the inferior epigastric artery and these anastomoses are often to be found but they are sometimes of different dimensions.…”

“…The extended iliofemoral approach is recommended for complex fractures, but this approach also has high rates of complications and morbidity 2,6 . In the last few decades, the anterior intra-pelvic (AIP) approach has become known as a relatively less invasive approach for complex fractures, especially those involving the load-bearing roof and medial wall [7][8][9][10][11] . There has continued to be increasing popularity of the technique due to highly encouraging studies 5,7,9,11 .…”

“…First described by Albrecht von Haller (1708-1777), various studies have been conducted on the frequency of observation of these vessels, the anatomic variations and structural properties. The rate of frequency of observation has been reported as ranging from 1% to 100% 9,[12][13][14][15][16][17] .…”

Surgical Treatment of Displaced Acetabular Fractures Using a Modified Stoppa Approach

“…There are studies comparing the ilioinguinal approach with the Stoppa approach from functional and radiological points of view. [6][7][8] It was shown that the Stoppa approach facilitates quadrilateral surface reduction and the application of a buttress plate to the pelvic girdle. [6][7][8][9][10] Although the methods showed no difference in functional outcomes, the results have been controversial in terms of the amount of bleeding.…”