Fixation of acetabular fractures via the ilioinguinal versus pararectus approach: a direct comparison

The Bone & Joint Journal
S MärdianP Schwabe

Abstract

This study compared the quality of reduction and complication rate when using a standard ilioinguinal approach and the new pararectus approach when treating acetabular fractures surgically. All acetabular fractures that underwent fixation using either approach between February 2005 and September 2014 were retrospectively reviewed and the demographics of the patients, the surgical details and complications were recorded. A total of 100 patients (69 men, 31 women; mean age 57 years, 18 to 93) who were consecutively treated were included for analysis. The quality of reduction was assessed using standardised measurement of the gaps and steps in the articular surface on pre- and post-operative CT-scans. There were no significant differences in the demographics of the patients, the surgical details or the complications between the two approaches. A significantly better reduction of the gap, however, was achieved with the pararectus approach (axial: p = 0.025, coronal: p = 0.013, sagittal: p = 0.001). These data suggest that the pararectus approach is at least equal to, or in the case of reduction of the articular gap, superior to the ilioinguinal approach. This approach allows direct buttressing of the dome of the acetabulum and the ...Continue Reading

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Citations

Oct 31, 2015·Injury·Theodoros H Tosounidis, Peter V Giannoudis
Aug 24, 2018·Journal of Orthopaedic Trauma·Kaifang ChenXiaodong Guo
Nov 13, 2019·Journal of Orthopaedic Trauma·Lisa WenzelMario Perl
Dec 28, 2018·JBJS Essential Surgical Techniques·Marius J B KeelJohannes D Bastian
Sep 2, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Yongqiang XuGang Wang
Jan 7, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Bennet A ButlerStephen H Sims
Dec 5, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Markus Alexander KüperChristian Konrads
Apr 10, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Andreas BrandMario Perl
Aug 28, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Sven MärdianUlrich Stöckle

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