Modified Stoppa’s Approach versus Ilioinguinal Approach for Anterior Column Fractures of Acetabulum in a Tertiary Care Hospital

Abstract

BACKGROUND AND OBJECTIVE: Acetabular fractures are complex injuries that present a surgical challenge due to the
deep location and complex anatomy of pelvis. Modified Stoppa approach has emerged as an alternative approach to
the traditional ilio-inguinal technique, offering improved exposure of the fracture site, reduced intraoperative blood
loss, shorter operative duration, and potentially fewer complications. This study aims to compare Modified Stoppa's
approach with Ilioinguinal approaches for blood loss during the surgery, operative time, postoperative complications,
and functional outcomes in patients undergoing surgical fixation for anterior acetabular fractures.
METHODOLOGY: This cross sectional analytical study was conducted in department of Orthopaedic surgery Lahore
General Hospital, Lahore from 1st Nov. 2022 to 30th Nov. 2023.
RESULTS: Mean operative time in Stoppa,s group was 92±10 as compared to 110±12 in Ilioinguinal group which was
statistically significant (P < 0.001). Hemoglobin drop was 1.5 , compared to Ilioinguinal group which was also
statistically significant (P = 0.04). Harris Hip score was in excellent in Stoppa group and was 17 (51.5) , compared to 16
(48.5) in Ilioinguinal group (p > 0.05).
CONCLUSION: Modified Stoppa,s approach can be used as alternative approach for surgical management of anterior
acetabulum fractures due to visualization of fracture site, less blood loss, short operative duration, better fracture
reduction and less complication rate.