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Objectives: Report the technical aspects, complications, radiographic resultsand clinical outcomes after minimum 2-year follow up of modified stoppa approach for the treatment of acetabular both-column fractures.Materials-methods: We reviewed a consecutive cohort of 42 patients with acetabular both-column fractures treated by one surgeon through a modified stoppa approach combined with thelateral window of the ilioinguinal approach.There were 26 females and 16 males with the mean age of 38 years.