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The prevalence of displaced acetabular fractures has increased with a substantial increase in traffic and the frequency of workplace accidents causing high-energy trauma. The treatment of these fractures is one of the complex fields of orthopedics, which is still developing (1). As with other intra-articular fractures, anatomic reduction of the load-bearing articular surface and rigid fixation are also essential in acetabular fractures. Without these, patients may develop post-traumatic arthrosis, and the hip joint movement may not start early even when proper treatment is given. However, acetabular fractures were often treated in the past conservatively. Because of the complexity of the region's and the difficulties encountered in reduction techniques, complications during and after the surgery and orthopedists’ unfamiliarity of the surgical region have limited the surgical treatment of acetabulum fractures (2). ABSTRACT The aim of this study was to share the results of ilioinguinal approach practiced on 27 patients who had specific types of acetabular fractures and explore its appropriateness. The study retrospectively analyzed 10 (37%) females and 17 (63%) males with acetabular fractures –[mean age 34.6 (19–46) years] surgically treated using the ilioinguinal approach. Fractures were identified using the Judet–Letournel classification. The Early postoperative radiographic assessment was done using Matta`s scoring system. The last followup clinical evaluation was performed according to the Harris hip score. The Matta classification was used in the final radiographic evaluation. Seven patients had anterior column (25.9%), six patients T (22.2%), five patients transverse (18.5%), five patients both columns (18.5%), and four patients anterior column and posterior hemitransverse (14.8%) type of fractures. According to Matta postoperative radiographic classification, 9 patients had anatomical, 14 patients had adequate, and another 14 patients had an inadequate reduction. The average Harris hip scoring was 86 (60–100). According to the Matta radiological classification used in follow-ups, the results were quite good in 14 patients, good in 10 patients, fair in 1 patient, and bad in 2 patients. Patients with less incision had rapid rehabilitation using expanded approach compared with those with heterotopic ossification. Serious complications such as infection and nerve injuries were seen less frequently. Anatomical structures encountered during the approach might not be customary for orthopedics. Surgeons can avoid large vessels and nerves by gaining experience and careful intraoperative retraction.

Ilioinguinal Approach for Treatment of Acetabular Fractures