Stoppa Approach Vs Anterior & Posterior Fixation in Management of BC Fracture Acetabulum

Double-column acetabular fractures are complex injuries that require stable anatomical reduction and fixation to restore hip function. These fractures may be treated using an isolated anterior approach with posterior column screw fixation or through sequential anterior and posterior column fixation. The relative benefits and risks of these two strategies remain uncertain. This prospective randomized controlled trial will compare isolated fixation through the modified Stoppa approach with posterior column screws versus sequential anterior and posterior column fixation in participants with double-column acetabular fractures. Thirty participants will be randomly allocated to the two treatment groups. The study will compare radiological and functional outcomes, implant failure, recurrent diastasis, operative characteristics, complications, wound infection, and the need for additional surgery.

Inclusion Criteria: Double-column acetabular fracture Age from 16 to 65 years, inclusive Recent acetabular fracture sustained within 14 days before enrollment Exclusion Criteria: Isolated anterior column fracture Isolated posterior column fracture Isolated anterior wall fracture Isolated posterior wall fracture Combined posterior wall and posterior column fracture Previous surgical procedure involving the affected hip before the current injury Pathological acetabular fracture Open acetabular fracture