title: Modified iliofemoral approach with osteotomy of the iliac crest, sparing the abdominal muscles, for the treatment of acetabular fracture.
abstract: Treatment of acetabular fracture is complex, requiring adapted and often extensive surgical approaches. We describe a modified iliofemoral approach, with the particularity of including iliac crest osteotomy sparing abdominal muscles to allow direct control of reduction while respecting the abdominal muscles, creating a workspace as close to the fracture as possible, without involving the inguinal canal or femoral vascular-neural bundle. In 15 complex fractures, the technique provided 13 excellent or good reductions and 13 excellent or good results according to the Matta criteria. This approach can be combined with others, such as a posterior approach, thus providing an alternative to the ilioinguinal approach in the treatment of complex acetabular fracture.
authors: Service de Chirurgie Orthopédique et Traumatologique, CHU de Dijon, 14, rue Paul-Gaffarel, 21079 Dijon, France; Unité Inserm u1093, 21079 Dijon cedex, France. Electronic address: martzpierre@neuf.fr.
authors: P
authors: P
authors: Martz
authors: Service de Chirurgie Orthopédique et Traumatologique, CHU de Dijon, 14, rue Paul-Gaffarel, 21079 Dijon, France.
authors: B
authors: B
authors: Viard
authors: Service de Chirurgie Orthopédique et Traumatologique du CH de Chalon-sur-Saône, 4, rue Capitaine-Drillien, 71321 Chalon-sur-Saône, France.
authors: A
authors: A
authors: Demangel
authors: Service de Chirurgie Orthopédique et Traumatologique, CHU de Dijon, 14, rue Paul-Gaffarel, 21079 Dijon, France; Unité Inserm u1093, 21079 Dijon cedex, France.
authors: E
authors: E
authors: Baulot
authors: Service de Chirurgie Orthopédique et Traumatologique, CHU de Dijon, 14, rue Paul-Gaffarel, 21079 Dijon, France; Unité Inserm u1093, 21079 Dijon cedex, France.
authors: P
authors: P
authors: Trouilloud
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D000077:Acetabulum / Q000293:injuries / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D005269:Femur / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D025981:Hip Injuries / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D055815:Young Adult
keywords: Acetabular fracture; Iliofemoral approach; Surgical approach of acetabulum