ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 25 Issue : 2 Year : 2017
 
Ilioinguinal Approach for Treatment of Acetabular Fractures [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2017; 25(2): 50-56 | DOI: 10.5505/ias.2017.57704  

Ilioinguinal Approach for Treatment of Acetabular Fractures

Enes Uluyardımcı1, Durmuş A. Öçgüder1, Mahmut Uğurlu2, İbrahim Bozkurt1, Temel Oğuz1, Okan Ateş1
1Department Of Orthopedics And Traumatology, Ankara Ataturk Education And Research Hospital, Ankara, Turkey
2Department Of Orthopedics And Traumatology, Yıldırım Beyazıt University Ankara Ataturk Education And Research Hospital, Ankara, Turkey

The aim of this study was to share the results of ilioinguinal approach practiced on 27 patients who had specific types of
acetabular fractures and explore its appropriateness.
The study retrospectively analyzed 10 (37%) females and 17 (63%) males with acetabular fractures –[mean age 34.6 (19–46) years] surgically treated using the ilioinguinal approach. Fractures were identified using the Judet–Letournel classification. The Early postoperative radiographic assessment was done using Matta`s scoring system. The last followup clinical evaluation was performed according to the Harris hip score. The Matta classification was used in the final radiographic evaluation.
Seven patients had anterior column (25.9%), six patients T (22.2%), five patients transverse (18.5%), five patients both columns (18.5%), and four patients anterior column and posterior hemitransverse (14.8%) type of fractures. According to Matta postoperative radiographic classification, 9 patients had anatomical, 14 patients had adequate, and another 14 patients had an inadequate reduction. The average Harris hip scoring was 86 (60–100). According to the Matta radiological classification used in follow-ups, the results were quite good in 14 patients, good in 10 patients, fair in 1 patient, and bad in 2 patients.
Patients with less incision had rapid rehabilitation using expanded approach compared with those with heterotopic ossification. Serious complications such as infection and nerve injuries were seen less frequently. Anatomical structures encountered during the approach might not be customary for orthopedics. Surgeons can avoid large vessels and nerves by gaining experience and careful intraoperative retraction.

Keywords: Acetabular fracture, ilioinguinal approach, Judet and Letourne


Enes Uluyardımcı, Durmuş A. Öçgüder, Mahmut Uğurlu, İbrahim Bozkurt, Temel Oğuz, Okan Ateş. Ilioinguinal Approach for Treatment of Acetabular Fractures. Med J Islamic World Acad Sci. 2017; 25(2): 50-56

Corresponding Author: Enes Uluyardımcı, Türkiye


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