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Modified Stoppa approach
54%
2286/4236
Extended Iliofemoral
16%
670/4236
Kocher-Langenbeck
13%
556/4236
Medial window of the ilioinguinal
11%
480/4236
Simultaneous anterior and posterior exposure
5%
226/4236
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Figure A represents an acetabular fracture pattern with medial displacement of the quadrilateral plate. Limited bone stock and anatomic access create a surgical challenge to treat these fractures. Both an ilioinguinal and modified Stoppa approach allow access to this area. However, use of the Stoppa approach often allows the middle window of the ilioinguinal approach to be avoided, resulting in minimal dissection of the inguinal canal, femoral nerve, and external iliac vessels. Cole et al discuss their initial experience using the modified Stoppa approach for fixation of acetabular fractures. Of the 55 fractures treated, 89 % of the post operative radiographs had either an excellent or good rating. Qureshi et al discuss their technique for infrapectineal plating that allows for stable fixation by resisting medial displacement through the quadrilateral surface.
2.1
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