This paper is only available as a PDF. To read, Please Download here.
Abstract
The choice of which decision to use for open reduction and internal fixation of complex
acetabulum fractures depends on several variables. We report on 26 patients in whom
a lateral extension of the ilioinguinal incision was used to achieve fracture reduction
and stabilization. The lateral extension allowed visualization of the lateral ilium,
in some cases passage of cerclage wires around the anterior and posterior columns,
and in some cases placement of lateral to medial lag screws above the dome of the
acetabulum. Reduction with a step of 1 mm or less and a gap of 3 mm or less with joint
congruence was achieved in 21 patients (81 per cent). No patients had clinically significant
heterotopic ossification. One patient had a transient postoperative femoral neuropathy,
one a superficial infection, and one a deep infection. We recommend this lateral extension
as an option during surgery of complex acetabular fractures through the ilioinguinal
incision.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Fractures of the Acetabulum. Springer, New York1993
- Complex acetabular fractures.Clin Orthop. 1981; 240: 9
- Surgical treatment of acetabulum fractures.in: Browner B Jupiter J Trafton P Skeleton Trauma. Levine, Harcourt-Brace, New York1991
- Operative treatment of complex acetabular fractures: combined anterior and posterior exposures during the same procedure.J Bone Joint Surg [Am]. 1990; 72A: 897
- The treatment of 111 consecutive acetabular fractures using combined simultaneous anterior and posterior approaches.J Orthop Trauma. 1990; 4: 222
- Non-extensile surgical approaches for two-column acetabular fractures.J Bone Joint Surg [Br]. 1993; 75B: 556
- Symposium management of acetabular fractures.in: Contemp Orthopaed. 25. 1992: 301
- Symposium management of acetabular fractures.in: Contemp Orthopaed. 25. 1992: 389
- Morbidity associated with open reduction and internal fixatíon of acetabular fractures in obese patients.J Orthop Trauma. 1990; 4: 222
- The superior gluteal artery in complex acetabular procedures: a cadaveric angiographic study.J Bone Joint Surg [Am]. 1994; 76A: 244
- A modified extensile exposure for the treatment of complex or malunited acetabular fractures.J Bone Joint Surg [Am]. 1988; 70A: 329
- Prophylaxis with indomethacin for heterotopic bone after open reduction of fractures of the acetabulum.J Bone Joint Surg [Am]. 1990; 72A: 245
- Muscle strength testing following surgery for acetabular fractures.J Orthop Trauma. 1993; 7: 39
- Ectopic ossification following total hip replacement: incidence and a method of classification.J Bone Joint Surg [Am]. 1973; 55A: 1629
Bosse MT, Poka A, Reinert CM, Ellwanger F, Slawson R and McDevitt ER. Heterotopic ossification as a complication of acetabular fracture: prophylaxis with low-dose irradiation. J Bone Joint Surg [Am] 70A: 1231.
- The treatment of acetabular fractures through the ilioinguinal approach.Clin Orthop. 1993; 292: 62
- Cerclage wiring of acetabular fractures.J Orthop Trauma. 1993; 7: 236
Article info
Publication history
Accepted:
November 22,
1994
Identification
Copyright
© 1995 Published by Elsevier Inc.
