The ilio-inguinal approach is an anterior approach to the pelvis, introduced by Letournel in 1965. With its use, the results of surgical treatment of acetabular fractures with the main dislocation in the anterior column were greatly improved. The anatomical dissection leads to a low complication rate and fast recovery of the patient. Three anatomical windows are developed: The first exposes the anterior sacro-iliac joint and iliac fossa, the second exposes the anterior column, the anterior wall, and the quadrilateral surface, and the third exposes the superior pubic ramus. The main advantage of the ilio-inguinal approach is that by using all three windows, an extended direct view on the entire inner side of the pelvis can be achieved for fracture reduction and plate positioning. Main disadvantages are the lack of direct visualization of the acetabular surface, the impaired view on the posterior column, and the need to open the inguinal canal.
KeywordsAcetabulum Fractures Ilio-inguinal Anterior pelvic approach Letournel
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