• Dharmendra Kumar, Shailendra Singh, Balwinder Singh, Arpit Singh, Ankit Sriwastava, Anand Kumar, and Ashish Kumar.
• Department of Orthopaedic Surgery, King George's Medical University, Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh-226003, India. Electronic address: dharmendra00715@gmail.com.
• Injury. 2025 Feb 4; 56 (3): 112208112208.

AimThe Aim of the study is to retrospectively analyse intraoperative complications in acetabular fractures treated via the Stoppa approach, identify their frequency and nature, and define potential risk factors, in addition to evaluating clinical outcomes.MethodsThis retrospective cohort study included a total of 136 acetabulum fracture cases (aged 16 to 82 years) that were managed using Stoppa approach. Records related with age, sex, mode of injury, body mass index, history and type of associated injury and time gap between injury and surgery were noted. Intraoperative records for complications, viz., vascular injury, nerve injury, peritoneum, bowel and bladder injury were retrieved. Data was analysed using SPSS 24.0 software. Chi-square and Independent samples 't'-tests were used for comparison.ResultsMean age of patients was 40.14±14.95 years. Majority (74.3 %) of patients were males and had road traffic accident (83.8 %) as the cause of injury. Mean BMI of patients was 22.4 ± 2.43 kg/m2. ACPHT (41.2 %) and ACF (27.9 %) were the most common diagnoses. A total of 16 (11.8 %) had associated injuries. Mean time gap between injury and surgery was 6.35±4.25 days. Intraoperative complication rate was 8.8 % (3.7 % peritoneum tear, 2.9 % superior iliac vein injury and 2.2 % external iliac vein injury). Intraoperative complications had a significant association with time gap between injury and surgery (p = 0.015).ConclusionStoppa technique was a safe approach for management of acetabulum fractures with a low incidence of intraoperative complications. Early intervention could help to reduce rate of complications further.Copyright © 2025 Elsevier Ltd. All rights reserved.

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