Trauma Department Hannover Medical School, Hannover, Germany.
Department of Trauma and Orthopedics, Johannes Wesling Hospital, Minden, Germany.
Arch Orthop Trauma Surg. 2024 Oct;144(10):4621-4632. doi: 10.1007/s00402-024-05582-1. Epub 2024 Oct 1.
Anterior approaches to the acetabulum can be distinguished into extrapelvic, intrapelvic and combined extrapelvic and intrapelvic approaches. Historically, the extrapelvic ilioinguinal approach was introduced in the French, English and German literature during the late 60s and became gradually the Gold-standard in treating anterior acetabular fractures. In the meantime, the intrapelvic approach, introduced by the Helsinki group, is favored by many surgeons with ongoing interest allowing direct antero-medial access to the true pelvis below the linea terminalis, to the quadrilateral plate and medial side of the posterior column. More recently, more supero-medial approaches, allowing access to the large and true pelvis have been developed, e.g. the Pararectus approach. The historical development, the value and approach-related results of the ilioinguinal approach are analyzed and discussed.
髋臼前方入路可分为骨盆外、骨盆内和骨盆外与骨盆内联合入路。历史上，骨盆外髂腹股沟入路于 60 年代后期在法国、英国和德国文献中被引入，并逐渐成为治疗前髋臼骨折的金标准。与此同时，由赫尔辛基小组引入的骨盆内入路受到许多外科医生的青睐，他们持续关注允许在终线以下的真骨盆内直接进行前内侧入路，到达四边形板和后柱的内侧。最近，更多的上内侧入路，如 Pararectus 入路，允许进入大骨盆和真骨盆。本文分析和讨论了髂腹股沟入路的历史发展、价值和与入路相关的结果。
