Ilioinguinal approach for treatment of acetabular fractures

ABSTRACT

The aim of this study was to share the results of ilioinguinal approach practiced on 27 patients who had specific types of acetabular fractures and explore its appropriateness. The study retrospectively analyzed 10 [37%] females and 17 [63%] males with acetabular fractures -[mean age 34.6 [19-46] years] surgically treated using the ilioinguinal approach. Fractures were identified using the Judet-Letournel classification. The Early postoperative radiographic assessment was done using Matta's scoring system. The last followup clinical evaluation was performed according to the Harris hip score. The Matta classification was used in the final radiographic evaluation. Seven patients had anterior column [25.9%], six patients T [22.2%], five patients transverse [18.5%], five patients both columns [18.5%], and four patients anterior column and posterior hemitransverse [14.8%] type of fractures. According to Matta postoperative radiographic classification, 9 patients had anatomical, 14 patients had adequate, and another 14 patients had an inadequate reduction. The average Harris hip scoring was 86 [60-100]. According to the Matta radiological classification used in follow-ups, the results were quite good in 14 patients, good in 10 patients, fair in 1 patient, and bad in 2 patients. Patients with less incision had rapid rehabilitation using expanded approach compared with those with heterotopic ossification. Serious complications such as infection and nerve injuries were seen less frequently. Anatomical structures encountered during the approach might not be customary for orthopedics. Surgeons can avoid large vessels and nerves by gaining experience and careful intraoperative retraction