Open AccessModified Kocher-Langenbeck approach in combined surgical exposures for acetabular fractures management
Author(s) -
Narender Kumar Magu,
Rajesh Rohilla,
Amanpreet Singh,
Jitendra Wadhwani
Publication year - 2016
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.177570
Subject(s) - medicine , acetabular fracture , posterior column , acetabulum , reduction (mathematics) , surgery , radiological weapon , internal fixation , orthopedic surgery , transverse plane , fixation (population genetics) , radiology , population , geometry , mathematics , environmental health
Displaced fractures of the acetabulum are best treated with anatomical reduction and rigid internal fixation. Adequate visualization of some acetabular fracture types may necessitate extensile or combined anterior and posterior approaches. Simultaneous anterior iliofemoral and posterior Kocher-Langenbeck (K-L) exposures with two surgical teams have also been described. To assess whether modified Kocher-Langenbeck (K-L) approach can substitute standard K-L approach in the management of elementary acetabular fractures other than the anterior wall and anterior column fractures and complement anterior surgical approaches in the management of complex acetabular fractures.