{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:48:02Z","timestamp":1787032082178,"version":"build-2736575974"},"reference-count":26,"publisher":"Index Copernicus","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,31]]},"abstract":"<jats:p>Background. The modified Stoppa approach has gained widespread acceptance for managing acetabular fractures. This study explores its effectiveness as a comprehensive solution for a majority of acetabular, pelvic and combined injuries.Material and methods. This prospective study enrolled 27 patients [21 males, 6 females, mean age 45.4 years] with acetabular fractures and pelvic injury fulfilling the inclusion criteria. The modified Stoppa approach with a transverse incision was used in all cases. The brim plate was used to fix the anterior column, the infra-pectineal plate, hook plate and lag screws were used to fix the posterior column. Symphyseal and ramus fixation was done using a recon plate and the sacroiliac joint was fixed with illiosacral screws. The mean follow up was 3.21 years. The radiological and functional outcome was evaluated by Matta\u2019s criteria and the modified D\u2019Aubigne and Postel criteria, respectively, for acetabular fractures and the Matta and Tornetta criteria and Majeed\u2019s score, respectively, for pelvic fractures.Results. There were 24 acetabular fractures and 4 pelvic injuries (including 1 combined injury). Average blood loss and operation times were 750 mL and 140 min, respectively. Among 24 acetabular fractures, 22 had congruent reduction and 2 had non-congruent reduction. Functional outcome was excellent in 7, good in 11, fair in 4 and poor in 2 patients. Among 4 pelvic fractures, 2 had excellent and 2 had good reduction. Majeed\u2019s score was excellent in 1 and good in 2 patients (the patient with a combined injury had an excellent functional outcome).  Conclusions. 1. This study confirms the efficacy and safety of the modified Stoppa approach in treating anterior injuries of the acetabulum. 2. This study also underlines the possibility of managing the minimally displaced posterior column injuries and a good portion pelvic ring injuries through anterior approach. 3. The modified Stoppa approach may be considered a workhorse approach for treating a majority of acetabular fractures.<\/jats:p>","DOI":"10.5604\/01.3001.0055.0635","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T07:41:35Z","timestamp":1742974895000},"page":"275-283","source":"Crossref","is-referenced-by-count":2,"title":["Modified Stoppa\u2019s approach as \u201call fractures through one approach\u201d for fractures of the acetabulum and pelvis"],"prefix":"10.5604","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0587-4201","authenticated-orcid":false,"given":"Asif","family":"Sultan","sequence":"first","affiliation":[{"name":"Post-Graduate Department of Orthopaedics, Hospital for Bone and Joint Surgery, Government Medical College,  Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1571-7608","authenticated-orcid":false,"given":"Qazi Waris","family":"Manzoor","sequence":"additional","affiliation":[{"name":"Post-Graduate Department of Orthopaedics, Hospital for Bone and Joint Surgery, Government Medical College,  Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"628579r1","doi-asserted-by":"crossref","unstructured":"Hirvensalo E, Lindahl J, Kiljunen V. 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