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Bones of the Lower Limb: Femur and Patella

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...

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Standard Approaches to the Acetabulum Part 3: Intrapelvic Approach.

A Gänsslen¹, S Grechenig, M Nerlich

¹Klinik für Unfallchirurgie Orthopädie und Handchirurgie, Klinikum der Stadt Wolfsburg, Germany.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca

|January 20, 2017

Summary

This summary is machine-generated.

The intrapelvic approach offers a less invasive surgical option for acetabular fractures with hip dislocation, providing direct visualization and improved outcomes compared to the ilioinguinal approach.

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Anatomy

Background:

The ilioinguinal approach was previously used for acetabular fractures with anterior column involvement.
Central hip dislocation often accompanies these fractures, requiring specific surgical considerations.
The intrapelvic approach was developed to provide better access to the antero-medial acetabular pathology and associated hip dislocations.

Purpose of the Study:

To detail the indications, positioning, exposure, and surgical technique of the intrapelvic approach for acetabular fractures.
To present the anatomical basis for osteosynthesis using this approach.
To report on the outcomes and results of using the intrapelvic approach.

Main Methods:

Description of the intrapelvic surgical approach, highlighting its differences from the ilioinguinal approach.
Detailed explanation of incision, dissection, and anatomical landmarks.
Emphasis on direct visualization for reduction and fixation of acetabular fragments.

Main Results:

The intrapelvic approach offers lower invasiveness with minimal muscle detachment.
Provides direct visualization of key structures like the superior pubic rami, inferior anterior column, and quadrilateral surface.
Demonstrates a low risk of heterotopic ossification and injury to the lateral cutaneous femoral nerve.

Conclusions:

The intrapelvic approach is a valuable technique for treating acetabular fractures with anterior column involvement and central hip dislocation.
It offers advantages in terms of invasiveness, visualization, and potentially reduced complications compared to the ilioinguinal approach.