Kabir Koroush, Welle Kristian, Lingohr Philipp, Jaenisch Max, Roos Jonas, Gathen Martin
Department of Orthopedics and Trauma Surgery, University Hospital of Bonn, Bonn.
Department of Surgery, University Hospital of Bonn, Bonn, Germany.
Arthrosc Tech. 2021 Jun 20;10(7):e1815-e1819. doi: 10.1016/j.eats.2021.03.030. eCollection 2021 Jul.
Injuries of the acetabulum are often challenging in treatment and aftercare. One reason is the required surgical approach, which has high complication rates, including vascular lesion, hernias, and wound infection. We present an alternative endoscopic-assisted approach for the internal fixation of acetabular fractures to avoid the Pfannenstiel incision. An endoscopic approach similar to that used for endoscopic hernia surgery was used. The ilioinguinal approach's lateral window was used to achieve reduction and insertion of a reconstruction plate. The purpose of this study is to describe a minimally invasive technique as a possible method to reduce hospitalization and complications. Another goal is to give detailed technical recommendations and to assess the potential pitfalls of this surgical approach. The APACHE technique is a safe and suitable minimally-invasive approach for the successful treatment of complex acetabular fractures and can be considered in similar cases.
髋臼损伤在治疗和术后护理方面往往具有挑战性。原因之一是所需的手术入路，其并发症发生率很高，包括血管损伤、疝气和伤口感染。我们提出一种替代性的内镜辅助方法用于髋臼骨折的内固定，以避免耻骨联合上横切口。采用了一种类似于内镜疝气手术的内镜入路。利用髂腹股沟入路的外侧窗口来实现复位和重建钢板的插入。本研究的目的是描述一种微创技术，作为减少住院时间和并发症的一种可能方法。另一个目标是给出详细的技术建议，并评估这种手术入路的潜在陷阱。APACHE技术是一种安全且合适的微创方法，可成功治疗复杂髋臼骨折，在类似病例中可予以考虑。
