Cutrera Norele Jean, Pinkas Daphne, Toro Jose Bernardo
J Am Acad Orthop Surg. 2015 Oct;23(10):592-603. doi: 10.5435/JAAOS-D-14-00307. Epub 2015 Aug 28.
Acetabular injuries are often difficult to treat because the acetabulum is surrounded by many important structures, making access difficult and sometimes dangerous. Surgical exposures of the acetabulum are complex and require significant skill and in-depth knowledge of pelvic anatomy. Each approach has its limitations, and the potential morbidity associated with these exposures can be daunting. Recent modifications to traditional acetabular approaches have been developed to address these issues. Knowledge of the ilioinguinal, Kocher-Langenbeck, and extended iliofemoral surgical exposures and the potential drawbacks associated with each approach are essential to optimize treatment and minimize morbidity.
髋臼损伤往往难以治疗，因为髋臼周围有许多重要结构，这使得手术入路困难，有时甚至危险。髋臼的手术显露复杂，需要高超的技术和对骨盆解剖的深入了解。每种入路都有其局限性，这些显露相关的潜在并发症可能令人望而生畏。为解决这些问题，人们对传统髋臼入路进行了改进。了解髂腹股沟、科克伦-朗贝克和扩大髂股手术显露以及每种入路的潜在缺点，对于优化治疗和降低并发症至关重要。
