We only see what we know: Structures at risk during the anterior intrapelvic approach

The classification, radiographic analysis, and surgical treatment of acetabular fractures described by Judet and Letournel in the 1960 ’s laid the groundwork for current management of these difficult injuries [1]. The ilioinguinal approach, described in 1963, was the first intrapelvic approach that allowed for visualization of the medial wall of the acetabulum [2]. While this approach served as the workhorse for anterior open red uction of acetabular fractures, dissection through the inguinal canal is technically demanding, with mobilization of the iliac vessels and lymphatic system, risking thrombosis and lymphedema, respectively [3].

Source: Injury - July 31, 2019 Category: Orthopaedics Authors: Theerachai Apivatthakakul, Michael Maher, Allison Tetreault, Thanawat Buranaphatthana, Sutiwat Luangsod, Motasem Salameh, Joshua A. Parry, Cyril Mauffrey Tags: Editorial Source Type: research