Archdeacon Michael T
Department of Orthopaedic Surgery, University of Cincinnati Academic Health Center, Cincinnati, OH.
J Orthop Trauma. 2015 Feb;29 Suppl 2:S6-9. doi: 10.1097/BOT.0000000000000270.
The ilioinguinal and anterior intrapelvic approaches to the acetabulum often involve different strategies for the treatment of acetabular fractures. The ilioinguinal approach allows access to the entire internal iliac fossa and pelvic brim, including indirect access to the quadrilateral surface. In contrast, the anterior intrapelvic approach allows access to the anterior elements from inside the pelvis with the surgeon standing opposite the fracture pathology. Therefore, the goal of this article is to clarify the advantages and disadvantages for each approach with respect to exposure, reduction, and fixation.
髋臼的髂腹股沟入路和骨盆内前路在治疗髋臼骨折时常常涉及不同的策略。髂腹股沟入路可显露整个髂内窝和骨盆缘，包括间接显露四边形面。相比之下，骨盆内前路能让外科医生站在骨折病变的对侧，从骨盆内部显露前方结构。因此，本文的目的是阐明每种入路在显露、复位和固定方面的优缺点。
