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The Modified Stoppa Approach for Acetabular Fracture

March 08, 2011

Contributors: Michael T Archdeacon, MD; Namdar Kazemi, MD; Pierre Guy, MD; Henry Claude Sagi, MD

The modified Stoppa, or anterior intrapelvic, approach to the acetabulum provides straightforward anatomic exposure that can be used for direct access to the pelvic brim, posterior column of the acetabulum, and the quadrilateral surface. The improved visualization provided by this approach facilitates fracture reduction and stabilization. This approach does not require surgical dissection of the inguinal canal and femoral neurovascular bundle. Also, a traditional lateral window may be incorporated to facilitate reduction and stabilization of anterior column fracture, if necessary.This anterior intrapelvic approach is contraindicated in fractures with posterior-only patterns that exit below the ischial spine. Excellent or good radiographic and clinical outcomes are generally reported.

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