Iliumosteotomie bei Hüftgelenkluxationsfraktur mit posterior-inferiorer gelenkfragmentdislokation: Modifikation des ilioinguinalen zugangs

Translated title of the contribution: Osteotomy of the iliac fossa in the treatment of a hip dislocation associated with a two-column acetabular fracture. Modification of the ilioinguinal approach to avoid an extended surgical approach

H. C. Pape, B. Zelle, J. Sitnik, A. Gänsslen, C. Krettek

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Open reduction and internal fixation is the treatment of choice for displaced acetabular fractures. The surgical approach depends on the fracture type, concomitant injuries, and general condition of the patient. The ilioinguinal approach provides a good exposure to the medial wall and is associated with an acceptable degree of surgical trauma. Exposure of the joint surface, however, is difficult when using the ilioinguinal approach. We report a case of a polytraumatized 39-year-old patient who sustained a posterior hip displacement and a two-column acetabular fracture. An osteotomy of the iliac ala was performed via an ilioinguinal approach to fragments of the acetabular surface that were displaced distally. Thereby, reposition of a craniolateral fragment was achieved without the need to extend the surgical approach or to perform a second incision.

Translated title of the contributionOsteotomy of the iliac fossa in the treatment of a hip dislocation associated with a two-column acetabular fracture. Modification of the ilioinguinal approach to avoid an extended surgical approach
Original languageGerman
Pages (from-to)239-242
Number of pages4
JournalUnfallchirurg
Volume107
Issue number3
DOIs
StatePublished - Mar 1 2004
Externally publishedYes

Keywords

  • Acetabular fracture
  • Ilioinguinal approach
  • Posterior hip displacement
  • Surgical approach

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine

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