Abstract
The indications for the extended iliofemoral (EIF) approach are transverse, T-shaped, or both-column acetabular fracture types with some complicating factors such as the transtectal transverse fracture subtype, associated anterior pelvic ring pathologies, sacroiliac joint injuries, a separate sciatic notch fragment, extended posterior wall fractures, separate dome fracture or impaction or the late reconstruction (>3 weeks after accident) of complex acetabular fractures. Due to the high incidence of complications of the EIF approach such as ectopic ossifications and fair or poor functional outcome combined approaches become more popular. The simultaneous intrapelvic Pararectus approach and trochanteric flip osteotomy with surgical hip dislocation allow anatomic reconstruction of complex acetabular fractures with a lower incidence of complications.
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Keel, M.J.B. (2019). Extended Iliofemoral and Combined Approaches. In: Büchler, L., Keel, M. (eds) Fractures of the Hip. Fracture Management Joint by Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-18838-2_8
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DOI: https://doi.org/10.1007/978-3-030-18838-2_8
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