Two-Incision Minimally Invasive Approach for the Treatment of Anterior Column Acetabular Fractures.

Abstract

We describe an alternative to the Letournel ilioinguinal approach for anterior column acetabular fractures that is performed with a unique retraction device that decreases the rate of soft-tissue complications. Identify the sites for both incisions with the help of an image intensifier. Make the first incision to expose the central area of the fracture. Make the second incision to expose the area for the distal plate fixation. For better visualization, use a soft-tissue retraction system. Clean and reduce the fracture through the first incision. Perform temporary and definitive fixation according to the standards for anterior acetabular fracture fixation. After radiographic documentation in three views, close the wound. We reported the results of a case-control study of the first twenty-six patients operated on with the two-incision minimally invasive technique.IndicationsContraindicationsPitfalls & Challenges.