TY - JOUR
T1 - Modified ilioinguinal approach to the acetabulum and pelvis from beneath the inguinal ligament
T2 - A subinguinal approach
AU - Hosseinzadeh, Hamid Reza Seyyed
AU - Eajazi, Alireza
AU - Yeganeh, Mehrnoush Hassas
AU - Besheli, Laleh Daftari
AU - Kazemi, Seyyed Morteza
AU - Bigdeli, Mohammad Reza
AU - Okhovvatpoor, Mohammad Ali
PY - 2010
Y1 - 2010
N2 - The ilioinguinal approach is favoured for fractures of the anterior part of the pelvis, but it is associated with some technical difficulties and it is not suitable for some complex fractures. In 2008, a modified ilioinguinal approach was introduced by Farid Yr which afforded visualisation of the inside and outside of the pelvis. The approach involves retroperitoneal access below the inguinal ligament to preserve the integrity of the inguinal canal and allows exposure of anterior and medial wall fractures as well as the anterior hip capsule. Despite the dimensions of the procedure, closure is anatomical because repair of the inguinal canal floor is not required. We report the use of this approach in 17 patients with T-type fractures of the acetabulum, transverse fractures of acetabulum, Tile C1 pelvic fractures, malunion of the pelvis and acetabular dysplasia. The approach is recommended in complex cases of acetabular surgery (including obese or muscular patients) and complicated or old fractures in which a better exposure is required. It is useful in visualisation of the anterior wall and labrum and intra articular structures, and in viewing the internal anatomy of the pelvis and acetabulum. It may be a suitable approach for periacetabular osteotomy.
AB - The ilioinguinal approach is favoured for fractures of the anterior part of the pelvis, but it is associated with some technical difficulties and it is not suitable for some complex fractures. In 2008, a modified ilioinguinal approach was introduced by Farid Yr which afforded visualisation of the inside and outside of the pelvis. The approach involves retroperitoneal access below the inguinal ligament to preserve the integrity of the inguinal canal and allows exposure of anterior and medial wall fractures as well as the anterior hip capsule. Despite the dimensions of the procedure, closure is anatomical because repair of the inguinal canal floor is not required. We report the use of this approach in 17 patients with T-type fractures of the acetabulum, transverse fractures of acetabulum, Tile C1 pelvic fractures, malunion of the pelvis and acetabular dysplasia. The approach is recommended in complex cases of acetabular surgery (including obese or muscular patients) and complicated or old fractures in which a better exposure is required. It is useful in visualisation of the anterior wall and labrum and intra articular structures, and in viewing the internal anatomy of the pelvis and acetabulum. It may be a suitable approach for periacetabular osteotomy.
KW - Acetabular fracture
KW - Anterior wall
KW - Ilioinguinal approach
KW - Retroperitoneal
KW - Subinguinal
UR - http://www.scopus.com/inward/record.url?scp=77955760362&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77955760362&partnerID=8YFLogxK
U2 - 10.1177/112070001002000204
DO - 10.1177/112070001002000204
M3 - Article
C2 - 20544664
AN - SCOPUS:77955760362
SN - 1120-7000
VL - 20
SP - 150
EP - 155
JO - HIP International
JF - HIP International
IS - 2
ER -