Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 17:10:1133744.
doi: 10.3389/fsurg.2023.1133744. eCollection 2023.

Drain vs. no-drain for acetabular fractures after treatment via a modified stoppa approach: A retrospective study

Lin Jin  1   2 , Zhongzheng Wang  1   2 , Kuo Zhao  1   2 , Xiaodong Lian  1   2 , Wei Chen  1   2   3 , Yingze Zhang  1   2   3   4 , Zhiyong Hou  1   2   3
Affiliations

Drain vs. no-drain for acetabular fractures after treatment via a modified stoppa approach: A retrospective study

Lin Jin et al. Front Surg. .

Abstract

Objective: The aim of this study was to compare the clinical efficacy of close suction drainage (CSD) and no-CSD after a modified Stoppa approach for the surgical fixation of acetabular fractures.

Methods: This retrospective study included 49 consecutive acetabular fracture patients, who presented to a single level I trauma center for surgical fixation, using a modified Stoppa approach from January 2018 to January 2021. All surgeries were performed by a senior surgeon using the same approach, and the patients were divided into two groups based on whether CSD was used after the operation. Details of the patient demographics, fracture characteristics, intraoperative indicators, reduction quality, intra and postoperative blood transfusion, clinical outcomes, and incision-related complications were collected.

Results: No significant differences were found in the demographics, fracture characteristics, intraoperative indicators, reduction quality, clinical outcomes, and incision-related complications between the two groups (P > 0.05). The use of CSD was associated with a significantly higher postoperative blood transfusion volume (P = 0.034) and postoperative blood transfusion rate (P = 0.027). In addition, there was a significant difference in postoperative temperatures, especially on postoperative Day 2 (no-CSD 36.97 ± 0.51°C vs. CSD 37.34 ± 0.69°C, P = 0.035), and higher visual analogue scale (VAS) scores, especially on postoperative Day 1 (no-CSD 3.00 ± 0.93 vs. CSD 4.14 ± 1.43, P = 0.002) and 3 (no-CSD 1.73 ± 0.94 vs. CSD 2.48 ± 1.08, P = 0.013).

Conclusion: The results of this study suggest that routine use of CSD should not be recommended for patients with acetabular fractures after surgical fixation using a modified Stoppa approach.

Keywords: acetabular fracture; close suction drainage; modified stoppa approach; surgical method; treatment.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The flowchart of the patient screening process.
Figure 2
Figure 2
A female patient, 57 years old, with a T-type acetabular fracture who underwent surgical treatment via a modified stoppa approach. (A) preoperative anteroposterior pelvic radiograph; (B), picture of the incision of the modified Stoppa approach; (C), internal fixation was placed after fracture reduction; (D), a CSD was used after surgery; (E), postoperative anteroposterior pelvic radiograph.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

  • The intrapelvic approach to the acetabulum.
    Gänsslen A, Staresinic M, Krappinger D, Lindahl J. Gänsslen A, et al. Arch Orthop Trauma Surg. 2024 Dec 18;145(1):65. doi: 10.1007/s00402-024-05667-x. Arch Orthop Trauma Surg. 2024. PMID: 39694899 Free PMC article. Review.

References

    1. Laird A, Keating JF. Acetabular fractures: a 16-year prospective epidemiological study. J Bone Joint Surg Br. (2005) 87(7):969–73. 10.1302/0301-620X.87B7.16017 - DOI - PubMed
    1. Meena S, Sharma PK, Mittal S, Sharma J, Chowdhury B. Modified stoppa approach versus ilioinguinal approach for anterior acetabular fractures; A systematic review and meta-analysis. Bull Emerg Trauma. (2017) 5(1):6–12. - PMC - PubMed
    1. Matta JM, Merritt PO. Displaced acetabular fractures. Clin Orthop Relat Res. (1988) (230):83–97. - PubMed
    1. Kilinc CY, Acan AE, Gultac E, Kilinc RM, Hapa O, Aydogan NH. Treatment results for acetabulum fractures using the modified stoppa approach. Acta Orthop Traumatol Turc. (2019) 53(1):6–14. 10.1016/j.aott.2018.11.003 - DOI - PMC - PubMed
    1. Bray TJ, Esser M, Fulkerson L. Osteotomy of the trochanter in open reduction and internal fixation of acetabular fractures. J Bone Joint Surg Am. (1987) 69(5):711–7. 10.2106/00004623-198769050-00012 - DOI - PubMed

LinkOut - more resources