Single-surgeon retrospective series evaluating the anterior intra-pelvic (AIP/modified Rives-Stoppa) approach as an alternative to the ilioinguinal approach for acetabular fracture fixation. Fifty-seven consecutive patients were treated at a Level I trauma center; 50 had minimum 1-year clinical and radiographic follow-up. The study reports reduction quality, clinical outcomes (Merle D'Aubigne), and perioperative complications.
When you need anterior acetabular exposure with direct access to the quadrilateral plate and posterior column — especially with quadrilateral comminution.
The AIP/Rives-Stoppa is a legitimate alternative to the ilioinguinal that avoids middle-window dissection; warn patients that roughly 1-in-4 will have temporary obturator nerve palsy, and plan for a lateral window in the majority of cases.
Single-surgeon retrospective series evaluating the anterior intra-pelvic (AIP/modified Rives-Stoppa) approach as an alternative to the ilioinguinal approach for acetabular fracture fixation. Fifty-seven consecutive patients were treated at a Level I trauma center; 50 had minimum 1-year clinical and radiographic follow-up. The study reports reduction quality, clinical outcomes (Merle D'Aubigne), and perioperative complications.
When you need anterior acetabular exposure with direct access to the quadrilateral plate and posterior column — especially with quadrilateral comminution.
The AIP/Rives-Stoppa is a legitimate alternative to the ilioinguinal that avoids middle-window dissection; warn patients that roughly 1-in-4 will have temporary obturator nerve palsy, and plan for a lateral window in the majority of cases.