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In this study, post-operative functional outcome and post-operative complications in posterior column acetabular fractures treated by external rotators sparing kocher lagenbeck approach is studied. Patients and methods: This prospective and retrospective study includes 20 patients of posterior acetabular fractures with a mean age of 39.55 years (range 21–60), that had been treated by external rotator sparing Kocher lagenbeck approach from october 2010 to october 2013. Results: Anatomic reduction and stable fixation of the fracture with less than 2 mm residual displacement was achieved in 18 of 20 hips. At the final follow up, the patients were evaluated clinically according to Merle d’Aubigne scoring system. The clinical results were excellent in 9, very good in 6, good in 3, fair in 1, and poor 1 hip. Conclusion: The functional outcome was satisfactory in most of the cases and comparable with other larger series. Using quadratus sparing kocher lagenbeck approach resulted in good fracture reduction without approach related complications.

Surgical Outcome of Posterior Column Acetabular Fractures Treated By Modified Kocher Lagenbeck Approach