A 1:1 Retrospective Matched Study Comparing the Modified Pararectus Approach and the Modified Stoppa Approach with Open Reduction and Locking Plate Internal Fixation for Acetabular Fractures
LAI Jiarui
SU Jinhui
LAI Chuanhao
WU Weifeng
WANG Huayou
Abstract：Objective To investigate the clinical efficacy of the modified pararectus approach with open reduction and locking plate internal fixation for the treatment of acetabular fractures.Methods A retrospective study was conducted,including the clinical data of 60 patients with acetabular fractures who underwent open reduction and locking plate internal fixation in Dehua County Hospital of Quanzhou from January 2021 to June 2025.Based on the different surgical approaches,patients were divided into control group(30 cases,accepted the modified Stoppa approach)and observation group(30 cases,accepted the modified pararectus approach).Perioperative indicators,hip joint function,and inflammatory markers were compared between the two groups.Results Compared with control group,the observation group had less intraoperative blood loss,shorter incision length,shorter time to expose the fracture site,shorter hospital stay,shorter operative time,and higher postoperative hemoglobin levels(P<0.05).The levels of various inflammatory markers at 3 days postoperatively were higher than preoperatively in both groups,but these levels were lower in observation group compared to control group(P<0.05).There was no statistically significant difference in hip joint function three months after the operation between the two groups(P>0.05).Conclusion Both approaches with open reduction and locking plate internal fixation can effectively improve hip joint function in patients with acetabular fractures.However,the modified pararectus approach can shorten operative time,reduce intraoperative blood loss,alleviate postoperative inflammatory response,and shorten patient recovery time.
Keywords：Acetabular FractureModified Stoppa ApproachOpen Reduction And Locking Plate Internal FixationModified Pararectus Approach
Publication Date：2025-12-15
Online Publishing Date：2026-01-19(First online date of this platform, not the publication date of the document)
Pages：5( 64-67,71 )