Posterior approaches to the acetabulum

Siebenrock, K.-A.; Tannast, M.; Bastian, Johannes Dominik; Keel, M. J. B. (2013). Posterior approaches to the acetabulum. Unfallchirurg, 116(3), pp. 221-226. Springer-Verlag 10.1007/s00113-012-2333-6

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Siebenrock, Klaus-Arno; Tannast, Moritz; Bastian, Johannes Dominik and Keel, Marius

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0177-5537

Publisher:

Springer-Verlag

Language:

German

Submitter:

Stephanie Schmutz

Date Deposited:

04 Apr 2014 11:06

Last Modified:

23 Oct 2019 13:11

Publisher DOI:

10.1007/s00113-012-2333-6

PubMed ID:

23478899

BORIS DOI:

10.7892/boris.42669

URI:

https://boris.unibe.ch/id/eprint/42669

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