{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:36:11Z","timestamp":1773354971127,"version":"3.50.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"DOI":"10.1007\/s00068-026-03144-1","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:41:28Z","timestamp":1773315688000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The pararectus approach in acetabular fracture fixation: evidence of reproducibility and learnability"],"prefix":"10.1007","volume":"52","author":[{"given":"R. O.","family":"Schaefer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Ivanova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. S.","family":"Leibold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. J.","family":"Egli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Bonel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J. B.","family":"Keel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. D.","family":"Bastian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"issue":"2","key":"3144_CR1","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1302\/0301-620X.92B2.22488","volume":"92","author":"TA Ferguson","year":"2010","unstructured":"Ferguson TA, et al. Fractures of the acetabulum in patients aged 60 years and older: an epidemiological and radiological study. J Bone Joint Surg Br. 2010;92(2):250\u20137.","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"3144_CR2","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1007\/s00590-021-02931-3","volume":"31","author":"K Vipulendran","year":"2021","unstructured":"Vipulendran K, et al. Current concepts: managing acetabular fractures in the elderly population. Eur J Orthop Surg Traumatol. 2021;31(5):807\u201316.","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"10","key":"3144_CR3","doi-asserted-by":"publisher","first-page":"4515","DOI":"10.1007\/s00402-024-05312-7","volume":"144","author":"D Krappinger","year":"2024","unstructured":"Krappinger D, et al. Acetabular fractures in geriatric patients: epidemiology, pathomechanism, classification and treatment options. Arch Orthop Trauma Surg. 2024;144(10):4515\u201324.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"11","key":"3144_CR4","doi-asserted-by":"publisher","first-page":"1632","DOI":"10.2106\/00004623-199611000-00002","volume":"78","author":"JM Matta","year":"1996","unstructured":"Matta JM. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am. 1996;78(11):1632\u201345.","journal-title":"J Bone Joint Surg Am"},{"issue":"17","key":"3144_CR5","doi-asserted-by":"publisher","first-page":"1559","DOI":"10.2106\/JBJS.K.00444","volume":"94","author":"M Tannast","year":"2012","unstructured":"Tannast M, Najibi S, Matta JM. Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am. 2012;94(17):1559\u201367.","journal-title":"J Bone Joint Surg Am"},{"key":"3144_CR6","doi-asserted-by":"publisher","first-page":"1615","DOI":"10.2106\/00004623-196446080-00001","volume":"46","author":"R Judet","year":"1964","unstructured":"Judet R, Judet J, Letournel E, Fractures of the acetabulum: classification and surgical approaches for open reduction. preliminary report. J Bone Joint Surg Am. 1964;46:1615\u201346.","journal-title":"J Bone Joint Surg Am"},{"key":"3144_CR7","doi-asserted-by":"crossref","unstructured":"Letournel E, Judet R, Elson RA, Letournel E, Judet R, Elson RA. 1993, Springer Berlin Heidelberg: Berlin, Heidelberg. 363\u201397.","DOI":"10.1007\/978-3-642-75435-7_21"},{"issue":"4","key":"3144_CR8","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1007\/s00264-020-04806-4","volume":"45","author":"M Cimerman","year":"2021","unstructured":"Cimerman M, et al. Fractures of the acetabulum: from yesterday to tomorrow. Int Orthop. 2021;45(4):1057\u201364.","journal-title":"Int Orthop"},{"issue":"3","key":"3144_CR9","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1007\/s00113-012-2332-7","volume":"116","author":"MJ Keel","year":"2013","unstructured":"Keel MJ, et al. [Anterior approaches to the acetabulum]. Unfallchirurg. 2013;116(3):213\u201320.","journal-title":"Unfallchirurg"},{"key":"3144_CR10","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1097\/00003086-199408000-00015","volume":"305","author":"JD Cole","year":"1994","unstructured":"Cole JD, Bolhofner BR. Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results. Clin Orthop Relat Res. 1994;305:112\u201323.","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"3144_CR11","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1097\/BOT.0b013e3181dd0b84","volume":"24","author":"HC Sagi","year":"2010","unstructured":"Sagi HC, Afsari A, Dziadosz D. The anterior intra-pelvic (modified rives-stoppa) approach for fixation of acetabular fractures. J Orthop Trauma. 2010;24(5):263\u201370.","journal-title":"J Orthop Trauma"},{"issue":"6","key":"3144_CR12","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1097\/01.bot.0000435627.56658.53","volume":"28","author":"N Shazar","year":"2014","unstructured":"Shazar N, et al. Comparison of acetabular fracture reduction quality by the ilioinguinal or the anterior intrapelvic (modified Rives-Stoppa) surgical approaches. J Orthop Trauma. 2014;28(6):313\u20139.","journal-title":"J Orthop Trauma"},{"issue":"10","key":"3144_CR13","doi-asserted-by":"publisher","first-page":"e1307","DOI":"10.3928\/01477447-20130920-25","volume":"36","author":"K Ma","year":"2013","unstructured":"Ma K, et al. Randomized, controlled trial of the modified Stoppa versus the ilioinguinal approach for acetabular fractures. Orthopedics. 2013;36(10):e1307\u201315.","journal-title":"Orthopedics"},{"issue":"1","key":"3144_CR14","doi-asserted-by":"publisher","first-page":"e3","DOI":"10.2106\/JBJS.ST.18.00034","volume":"9","author":"M Tannast","year":"2019","unstructured":"Tannast M, et al. Open Reduction and Internal Fixation of Acetabular Fractures Using the Modified Stoppa Approach. JBJS Essent Surg Tech. 2019;9(1):e3.","journal-title":"JBJS Essent Surg Tech"},{"issue":"3","key":"3144_CR15","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/j.injury.2016.01.025","volume":"47","author":"JD Bastian","year":"2016","unstructured":"Bastian JD, et al. Surgical exposures and options for instrumentation in acetabular fracture fixation: Pararectus approach versus the modified Stoppa. Injury. 2016;47(3):695\u2013701.","journal-title":"Injury"},{"issue":"3","key":"3144_CR16","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1302\/0301-620X.94B3.27801","volume":"94","author":"MJ Keel","year":"2012","unstructured":"Keel MJ, et al. The Pararectus approach for anterior intrapelvic management of acetabular fractures: an anatomical study and clinical evaluation. J Bone Joint Surg Br. 2012;94(3):405\u201311.","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"3144_CR17","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.2106\/JBJS.ST.17.00060","volume":"8","author":"MJB Keel","year":"2018","unstructured":"Keel MJB, et al. The Pararectus Approach: A New Concept. JBJS Essent Surg Tech. 2018;8(3):e21.","journal-title":"JBJS Essent Surg Tech"},{"issue":"12","key":"3144_CR18","doi-asserted-by":"publisher","first-page":"1900","DOI":"10.1016\/j.injury.2014.10.040","volume":"45","author":"MJ Keel","year":"2014","unstructured":"Keel MJ, et al. Clinical results of acetabular fracture management with the Pararectus approach. Injury. 2014;45(12):1900\u20137.","journal-title":"Injury"},{"issue":"9","key":"3144_CR19","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1302\/0301-620X.97B9.35403","volume":"97\u2013b","author":"S M\u00e4rdian","year":"2015","unstructured":"M\u00e4rdian S, et al. Fixation of acetabular fractures via the ilioinguinal versus pararectus approach: a direct comparison. Bone Joint J. 2015;97\u2013b(9):1271\u20138.","journal-title":"Bone Joint J"},{"issue":"2","key":"3144_CR20","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1097\/BOT.0000000000001636","volume":"34","author":"L Wenzel","year":"2020","unstructured":"Wenzel L, et al. The Pararectus Approach in Acetabular Surgery: Radiological and Clinical Outcome. J Orthop Trauma. 2020;34(2):82\u20138.","journal-title":"J Orthop Trauma"},{"issue":"4","key":"3144_CR21","doi-asserted-by":"publisher","first-page":"1191","DOI":"10.1111\/os.12970","volume":"13","author":"R Zou","year":"2021","unstructured":"Zou R, et al. Clinical Results of Acetabular Fracture via the Pararectus versus Ilioinguinal Approach. Orthop Surg. 2021;13(4):1191\u20135.","journal-title":"Orthop Surg"},{"issue":"5","key":"3144_CR22","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1007\/s43465-021-00585-1","volume":"56","author":"W Liu","year":"2022","unstructured":"Liu W, et al. Comparison of Therapeutic Outcomes of Transabdominal Pararectus Approach and Modified Stoppa Approach in Treating Pelvic and Acetabular Fractures. Indian J Orthop. 2022;56(5):829\u201336.","journal-title":"Indian J Orthop"},{"issue":"4","key":"3144_CR23","doi-asserted-by":"publisher","first-page":"103275","DOI":"10.1016\/j.otsr.2022.103275","volume":"108","author":"MA K\u00fcper","year":"2022","unstructured":"K\u00fcper MA, et al. Pararectus approach vs. Stoppa approach for the treatment of acetabular fractures - a comparison of approach-related complications and operative outcome parameters from the German Pelvic Registry. Orthop Traumatol Surg Res. 2022;108(4):103275.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"2","key":"3144_CR24","doi-asserted-by":"publisher","first-page":"103204","DOI":"10.1016\/j.otsr.2022.103204","volume":"108","author":"T Shigemura","year":"2022","unstructured":"Shigemura T, et al. Comparison between ilioinguinal approach and modified Stoppa approach for the treatment of acetabular fractures: An updated systematic review and meta-analysis. Orthop Traumatol Surg Res. 2022;108(2):103204.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"4","key":"3144_CR25","doi-asserted-by":"publisher","first-page":"112241","DOI":"10.1016\/j.injury.2025.112241","volume":"56","author":"N Ramadanov","year":"2025","unstructured":"Ramadanov N, et al. Comparative evaluation and ranking of anterior surgical approaches for acetabular fractures: A systematic review and network meta-analysis. Injury. 2025;56(4):112241.","journal-title":"Injury"},{"issue":"7","key":"3144_CR26","doi-asserted-by":"publisher","first-page":"e284","DOI":"10.1097\/BOT.0000000000001161","volume":"32","author":"DO Verbeek","year":"2018","unstructured":"Verbeek DO, et al. Assessing Postoperative Reduction After Acetabular Fracture Surgery: A Standardized Digital Computed Tomography-Based Method. J Orthop Trauma. 2018;32(7):e284\u20138.","journal-title":"J Orthop Trauma"},{"issue":"4","key":"3144_CR27","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1302\/0301-620X.92B4.23494","volume":"92","author":"AN Miller","year":"2010","unstructured":"Miller AN, et al. The radiological evaluation of acetabular fractures in the elderly. J Bone Joint Surg Br. 2010;92(4):560\u20134.","journal-title":"J Bone Joint Surg Br"},{"issue":"8","key":"3144_CR28","doi-asserted-by":"publisher","first-page":"112459","DOI":"10.1016\/j.injury.2025.112459","volume":"56","author":"S Ivanova","year":"2025","unstructured":"Ivanova S, et al. The gull sign in acetabular fractures revisited - is the dome impacted or elevated? Injury. 2025;56(8):112459.","journal-title":"Injury"},{"issue":"1","key":"3144_CR29","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1186\/s12891-022-05275-z","volume":"23","author":"G Liu","year":"2022","unstructured":"Liu G, et al. The Pararectus approach in acetabular fractures treatment: functional and radiologcial results. BMC Musculoskelet Disord. 2022;23(1):370.","journal-title":"BMC Musculoskelet Disord"},{"issue":"7","key":"3144_CR30","doi-asserted-by":"publisher","first-page":"103498","DOI":"10.1016\/j.otsr.2022.103498","volume":"109","author":"T Shigemura","year":"2023","unstructured":"Shigemura T, et al. Efficacy and safety of pararectus approach for the treatment of acetabular fractures: A systematic review and meta-analysis. Orthop Traumatol Surg Res. 2023;109(7):103498.","journal-title":"Orthop Traumatol Surg Res"},{"issue":"3","key":"3144_CR31","doi-asserted-by":"publisher","first-page":"1397","DOI":"10.1007\/s00590-023-03808-3","volume":"34","author":"SF Schaible","year":"2024","unstructured":"Schaible SF, et al. Corona mortis: clinical evaluation of prevalence, anatomy, and relevance in anterior approaches to the pelvis and acetabulum. Eur J Orthop Surg Traumatol. 2024;34(3):1397\u2013404.","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"3144_CR32","doi-asserted-by":"crossref","unstructured":"Ivanova S et al. Rehabilitation protocols for surgically treated acetabular fractures in older adults: current practices and outcomes. J Clin Med, 2025. 14(14).","DOI":"10.3390\/jcm14144912"},{"issue":"10","key":"3144_CR33","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1016\/j.injury.2010.11.060","volume":"42","author":"GY Laflamme","year":"2011","unstructured":"Laflamme GY, et al. Internal fixation of osteopenic acetabular fractures involving the quadrilateral plate. Injury. 2011;42(10):1130\u20134.","journal-title":"Injury"},{"key":"3144_CR34","doi-asserted-by":"publisher","first-page":"101248","DOI":"10.1016\/j.tcr.2025.101248","volume":"60","author":"J Gewiess","year":"2025","unstructured":"Gewiess J, et al. Selective temporary angioembolisation in older adults with pelvic trauma - Two cases. Trauma Case Rep. 2025;60:101248.","journal-title":"Trauma Case Rep"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-026-03144-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00068-026-03144-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-026-03144-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:41:34Z","timestamp":1773315694000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00068-026-03144-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,12]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3144"],"URL":"https:\/\/doi.org\/10.1007\/s00068-026-03144-1","relation":{},"ISSN":["1863-9941"],"issn-type":[{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,12]]},"assertion":[{"value":"12 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective comparative cohort study was approved by the local institutional ethics committee (Kantonale Ethikkommission Bern, Switzerland, Project ID 2023\u2009\u2212\u200901747) and conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"97"}}