الفهرس 
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Abstract
Background: Various epidemiological studies have revealed that the incidence of acetabular fracture is increasing rapidly. The most critical step in the treatment of displaced acetabular fracture is the anatomical reduction of the articular surface and stable fixation as well as the use of an appropriate surgical approach to achieve good clinical outcomes.
Aim of the Work: To perform a systematic review to compare the modified Stoppa approach and the ilioinguinal approach regarding reduction quality, Blood loss, Operative time, and Complications in pelvi-acetabular fractures
Patients and Methods: two independent authors systematically searched PubMed, the Web of Science, and the Cochrane Library electronic databases for relevant articles. Twelve articles were included in this study on 714 patients, 396 patients had the Modified Stoppa approach and 318 patients had the ilioinguinal approach from 2013 to 2020. The following terms were used for our search: anterior intra-pelvic approach, comparison or versus Stoppa Approach, Ilioinguinal Approach, Pelvic fractures, Acetabular fractures, and Pelvi-Acetabular Fractures. We also checked the reference lists in the retrieved articles to include additional studies that met the criteria but had not been identified by the electronic search. All studies identified were individually assessed for inclusion in our study.
Results: Twelve studies in our inclusion criteria showed That operative time was significantly shorter with the modified Stoppa approach than with the Ilioinguinal approach and this was statistically significant. The main result of our results was post-operative outcome and it was significantly better with the Modified stoppa approach than the Ilioinguinal approach. In our study, there was no significant difference between the two approaches regarding postoperative complications except in nerve injury.
Conclusion: This study suggests that it was statistically significant that The Modified Stoppa Approach has better clinical outcomes operative time, and intraoperative bleeding and may be associated with a lower incidence of certain complications, such as neurovascular injuries