Wolf H, Wieland T, Pajenda G, Vécsei V, Mousavi M
Department of Traumatology, Medical University Vienna, Währinger Gürtel 18-20, A-1090, Vienna, Austria.
Injury. 2007 Oct;38(10):1170-6. doi: 10.1016/j.injury.2006.06.116. Epub 2006 Sep 18.
The classic ilioinguinal approach is a gold standard in acetabular surgery. We developed a modification, a minimally invasive method that entails a median lower abdominal approach with extraperitoneal dissection and exposure of the pubic symphysis. The second incision is lateral, next to the iliac crest. This allows an easy, safe and quick exposure of the anterior iliac ring as well as easy access to the posterior column and wall towards the sacroiliac joint. The iliac vessels and nerves are thereby protected, and no preparation of neurovascular structures is required. The technique was applied in 23 clinical cases and compared with the classic ilioinguinal approach in 9 similar cases over the same period.
经典的髂腹股沟入路是髋臼手术的金标准。我们研发了一种改良方法，即一种微创方法，采用下腹部正中入路，经腹膜外解剖并暴露耻骨联合。第二个切口位于髂嵴旁外侧。这样可以轻松、安全且快速地暴露髂前环，还能方便地进入后柱和朝向骶髂关节的后壁。由此可保护髂血管和神经，无需对神经血管结构进行预处理。该技术应用于23例临床病例，并与同期9例相似病例的经典髂腹股沟入路进行了比较。
