Anterior approaches to the acetabulum: which one to choose?

EFORT Open Reviews

article

Tim Pohlemann¹  Steven C. Herath²  Benedikt J. Braun²  Mika F. Rollmann²  Tina Histing²  Antonius Pizanis² 

[1] Department of Trauma, Saarland University;Department of Trauma, Saarland University Hospital

关键词: acetabular fracture;    approach;    osteosynthesis;   

DOI  :  10.1302/2058-5241.5.190061

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

According to Emile Letournel, fractures of the acetabulum can be subdivided into ten fracture types.1 There are five elementary fracture types, highlighted by a singular fracture line separating either the posterior or anterior wall or column, or involving both columns with a transverse fracture pattern, and combined fracture types which represent the five most frequent combinations of the elementary fracture lines. Depending on the classification and specific additional fracture pattern, such as marginal impactions, intraarticular fragments and cartilage damage, the attending surgeon has to choose between the different options of anterior/ posterior or rarely extended or combined surgical approaches. While the Kocher-Langenbeck approach remains the standard approach to the dorsal aspect of the acetabulum, there are several anterior approaches which can be utilized for the stabilization of fractures which involve anterior structures of the acetabulum or both column fractures.

【 授权许可】

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