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[Posterior approaches to the acetabulum].

  • Siebenrock KA Universitätsklinik für Orthopädische Chirurgie und Traumatologie, Universitätsspital Bern, Inselspital, Freiburgstraße 3, CH-3010 Bern, Schweiz. klaus.siebenrock@insel.ch
  • Tannast M
  • Bastian JD
  • Keel MJ
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  • 2013-03-13
Published in:
  • Der Unfallchirurg. - 2013
Acetabulum
Fracture Fixation, Internal
Fractures, Bone
Humans
Minimally Invasive Surgical Procedures
English Posterior approaches to the hip joint were developed by Langenbeck and Kocher in the nineteenth century. Letournel created the term Kocher-Langenbeck approach which became one of the most important approaches to the hip joint. The further extension of this approach by digastric trochanteric osteotomy and subsequently by surgical hip dislocation enables visualization of the entire hip joint which allows complete evaluation of articular joint damage, quality of reduction and confirmation of extra-articular hardware. With the increasing incidence of acetabular fractures in the elderly there is a concomitant increase of complicating factors, such as multifragmentary posterior wall fractures, dome impaction, marginal impaction and femoral head damage. These factors are negative predictors and compromise a favorable outcome after acetabular surgery. With direct joint visualization these factors can be reliably recognized and corrected as adequately as possible. Surgical hip dislocation thus offers advantages in complex posterior wall, transverse and T-shaped fractures with or without posterior wall involvement. For these fracture types surgical hip dislocation represents a standard approach in our hands.
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  • English
Open access status
green
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Persistent URL
https://folia.unifr.ch/global/documents/218879
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