Evolution of the anterior intrapelvic (Stoppa) approach for acetabular fracture surgery.

With their description of an approach that took advantage of the preperitoneal/retroperitoneal space to access the posterior pelvic ring, Hirvensalo et al and Cole and Bolhofner launched a series of developments that would complement the pelvic and acetabular surgeon's armamentarium in addressing injuries in this area. From this point on, additional contributors developed clinically relevant study designs to identify safety parameters and quantify expected outcomes and prognosis. The knowledge dissemination cycle has now extended to the development of instruments and implants to assist surgeons with this approach and to better serve patients.