Small-incision surgical exposure for select fractures of the acetabulum: the gluteus maximus-splitting approach.

Abstract

This technique article presents a small-incision, gluteal-splitting approach for the treatment of select fractures involving the posterior acetabulum. The approach essentially involves the proximal portion of the Kocher-Langenbeck incision, and it can be extended to a larger exposure if needed. It is ideally suited for posterior-wall fractures, along with select transverse and posterior column fractures.