Dinh A, Lortat-Jacob A
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Ambroise Paré, Boulogne.
Rev Chir Orthop Reparatrice Appar Mot. 1990;76(7):460-7.
Thirty-three fractures of the acetabulum were operated on through an extended lateral approach described by Sénégas. Exposition of the posterior column was similar to that obtained through a classic Kocher-Langenbeck approach. The anterior column can be simultaneously exposed even though the exposition is relatively limited. Intraarticular control of the fracture through this approach is excellent, allowing de visu reconstruction of the acetabulum. Clinical results were excellent in 28 patients with an average follow-up of 3 1/2 years. Complications were relatively rare. The Sénégas approach is indicated in "T" fractures and in transverse fractures without an associated fracture of the posterior wall. In bicolumnar fractures, the Sénégas approach allows joint reconstruction even in the absence of peripheral control of the fragments.
