Clinical And Radiological Outcomes Of Acetabular Fractures Treated With Modified STOPPA Approach

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Published: Jul 7, 2026
Keywords:
Acetabular fracture, Modified Stoppa approach, Harris Hip Score, Matta criteria, functional outcome
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Palash Jethaliya
a:1:{s:5:"en_US";s:52:"Ruxmaniben deepchand gardi medical college , ujjain ";}
Vivek Singh
Ashish Patidar
Akshay Jain
Dr Ashish Agrawal
Charchit Baurasi
Naman Gupta
Rajarshi Deep Srivastava
Aditya Meena
Akshay Mehra
Rohit Parmar

Abstract

Background: Acetabular fractures are complex intra-articular injuries commonly caused by high-energy trauma. Achieving anatomical reduction is essential for optimal functional recovery. The modified Stoppa approach has emerged as a minimally invasive alternative, offering improved visualization of medial acetabular structures with reduced soft tissue dissection.


Aim: To evaluate clinical and radiological outcomes of acetabular fractures treated using the modified Stoppa approach.


Materials and Methods: This prospective study included 30 patients (18–70 years) with anterior acetabular fractures treated using the modified Stoppa approach between January and December 2024. Clinical outcomes were assessed using VAS, Harris Hip Score (HHS), and Merle d’Aubigné score at 1 and 6 months. Radiological outcomes were evaluated using Matta’s criteria. Statistical significance was set at p < 0.05.


Results:
Mean age was 42.2 ± 13.6 years, with 80% males. Road traffic accidents accounted for 70% of injuries. Anatomical reduction was achieved in 83.3% of cases. Significant improvement was noted in VAS (4.13 to 2.21), HHS (68.80 to 86.13), and Merle d’Aubigné score (12.30 to 15.80) at 6 months (p < 0.001). Good to excellent outcomes were observed in 76.7% of patients. Complications occurred in 26.7% but did not significantly affect outcomes.


Conclusion: The modified Stoppa approach is a safe and effective technique for anterior acetabular fractures, providing satisfactory anatomical reduction, improved functional outcomes, and acceptable complication rates.

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Jethaliya, P., Singh, V., Patidar, A., Jain, A., Agrawal, D. A., Baurasi, C., … Parmar, R. (2026). Clinical And Radiological Outcomes Of Acetabular Fractures Treated With Modified STOPPA Approach. Central India Journal of Medical Research. Retrieved from https://cijmr.com/index.php/cijmr/article/view/446
Issue
Online First 2026
Section
Original Research Articles
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

1.Nayak T, Mittal S, Trikha V, Farooque K, Gamanagatti S, Sharma V. Short-term results of surgical treatment of acetabular fractures using the modified Stoppa approach. J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1121-1127. doi: 10.1016/j.jcot.2020.10.007. Epub 2020 Oct 10. Erratum in: J Clin Orthop Trauma. 2021 Oct;21:101561. doi: 10.1016/j.jcot.2021.101561. PMID: 33192018

2.Singh SV, Chopra RK, Puri G, Pheroz M Sr, Kumar S Sr, Bansal A, Gupta S Sr, Sodhi S, Samanta P. Clinico-Radiological Evaluation of Modified Stoppa Approach in Treatment of Acetabulum Fractures. Cureus. 2020 Sep 2;12(9):e10193. doi: 10.7759/cureus.10193. PMID: 33042655

3.Tannast M, Keel MJB, Siebenrock KA, Bastian JD. Open Reduction and Internal Fixation of Acetabular Fractures Using the Modified Stoppa Approach. JBJS Essent Surg Tech. 2019 Jan 23;9(1):e3. doi: 10.2106/JBJS.ST.18.00034. PMID: 31086721

4.Yao S, Chen K, Ji Y, Zhu F, Zeng L, Xiong Z, Sun T, Yang F, Liu J, Guo X. Supra-ilioinguinal versus modified Stoppa approach in the treatment of acetabular fractures: reduction quality and early clinical results of a retrospective study. J Orthop Surg Res. 2019 Nov 14;14(1):364. doi: 10.1186/s13018-019-1428-y. PMID: 31727107

5.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 Jan;5(1):6-12. PMID: 28246617

6.Chan KY, Chui KH, Ip KC, Lee KB, Li W, et al.

Fixation of pelvic-acetabular fractures using a midline modified Stoppa approach: clinical and operative outcomes Journal of Orthopaedics, Trauma and Rehabilitation. 2018; 24:18-24. https://doi.org/10.1016/j.jotr.2017.01.001

7.Kadam R, Dagar PS, Challani A, Jadhav A, Pestonji J.

Functional outcome of acetabular fracture fixation by modified Stoppa’s approach. Int J Res Orthop. 2023;5(1):177.

doi:10.18203/issn.2455-4510.IntJResOrthop20185343

8.M. Scrivano, A. Vadalà, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli. A comparison between ilioinguinal and modified Stoppa approach in anterior column acetabular fractures, Injury, 2024;55(2): 111166. https://doi.org/10.1016/j.injury.2023.111166

9.Ma K, Luan F, Wang X, Ao Y, Liang Y, Fang Y, Tu C, Yang T, Min J. Randomized, controlled trial of the modified Stoppa versus the ilioinguinal approach for acetabular fractures. Orthopedics. 2013 Oct 1;36(10):e1307-15. doi: 10.3928/01477447-20130920-25. PMID: 24093709

10.Bastian JD, Tannast M, Siebenrock KA, Keel MJ.

Mid-term results after fixation of acetabular fractures using the modified Stoppa approach. Injury. 2013;44(12):1793–1798. https://doi.org/10.1016/j.injury.2013.08.009

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