Objective To compare postoperative complications,clinical function,and quality of reduction of the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and internal fixation of acetabular fracture. Methods A total of 138 patients were included in this study from February 2007 to February 2014. The patients were divided to Stoppa group(the modified stoppa surgical approach for open reduction and internal fixation of acetabular fracture,n=41) and ilioinguinal group( the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and in-ternal fixation of acetabular fracture,n=97),according to different surgical approach. These data were compared between the groups,such as the operative time,blood loss,complications,clinical function,and quality of reduction. Results All sugery were successfully completed. The patients in the stoppa group had a shorter operative time,less blood loss,higher rate of ana-tomic reduction,and higher rate of excellent of clinical function when compared to those in ilioinguinal group(P﹤0. 05). However,there were no significant difference between the stoppa group and ilioinguinal group in term of complications,and rate of good-to-excellent of clinical function(P﹥0. 05). Conclusion The use of modified stoppa surgical approach or the ilio-inguinal surgical approach for acetabular fracture reduction can obtain similar clinical function and incidence of complication, but the modified stoppa surgical approach has the advantage of a shorter operative time,less blood loss,and higher rate of ana-tomic reduction.%目的：比较改良Stoppa入路与腹股沟入路行髋臼骨折切开复位内固定术的术后并发症、临床功能及骨折复位质量。方法2007年2月至2014年2月收治的共138例患者纳入本研究，根据手术入路不同将患者分为改良Stoppa入路组（经改良Stoppa入路行髋臼骨折切开复位内固定术，共41例）和髂腹股沟入路组（经髂腹股沟入路行髋臼骨折切开复位内固定术，共97例）。比较两组患者的手术时间、出血量（术中+术后引流）、并发症、骨折解剖复位率及临床功能。结果两组患者均成功完成手术，相比髂腹股沟入路组，改良Stoppa入路组患者手术时间较短、出血量较少、骨折解剖复位率较高、临床功能得优率较高（ P﹤0.05）；但两组患者术后并发症、临床优良率等方面比较差异无统计学意义（ P﹥0.05）。结论采用改良Stoppa入路或髂腹股沟入路行髋臼骨折切开复位内固定，可获得相似的临床功能及并发症发生率，但是前者具有手术时间短、失血量低、解剖复位率高等优势。
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