Anterior approaches to the acetabulum: which one to choose?

Tim Pohlemann; Steven C Herath; Benedikt J Braun; Mika F Rollmann; Tina Histing; Antonius Pizanis

doi:10.1302/2058-5241.5.190061

Anterior approaches to the acetabulum: which one to choose?

EFORT Open Rev. 2020 Oct 26;5(10):707-712. doi: 10.1302/2058-5241.5.190061. eCollection 2020 Oct.

Authors

Tim Pohlemann¹, Steven C Herath¹, Benedikt J Braun¹, Mika F Rollmann¹, Tina Histing¹, Antonius Pizanis¹

Affiliation

¹ Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany.

Abstract

Surgical treatment of acetabular fractures remains challenging even for experienced surgeons.Whilst the ilioinguinal and the Kocher-Langenbeck approach remain the standard procedures to expose the anterior or posterior aspects of the acetabulum, some modified anterior approaches for the stabilization of the acetabulum have been introduced.This article will provide an overview of approaches to the anterior aspect of the acetabulum and explain the efforts that have been made to improve the surgeon's options for certain fracture modifications, such as fractures with separation of the quadrilateral surface. Cite this article: EFORT Open Rev 2020;5:707-712. DOI: 10.1302/2058-5241.5.190061.

Keywords: acetabular fracture; approach; osteosynthesis.

Publication types

Review