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The intrapelvic approach to the acetabulum.

Axel Gänsslen1,2, Mario Staresinic3, Dietmar Krappinger4

  • 1Department of Trauma Surgery, Hannover Medical School, Hannover, Germany. dr.gaensslen@gmx.de.

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|December 18, 2024
PubMed
Summary

The intrapelvic approach provides direct internal access to the acetabulum and pelvic ring for injury fixation. This method, distinct from the Rives-Stoppa approach, offers a clearer view of the medial acetabulum.

Keywords:
Extended intrapelvic approachIntrapelvic approachResultsStoppa´s hernia repair

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Area of Science:

  • Orthopedic Surgery
  • Anatomy
  • Surgical Approaches

Background:

  • The intrapelvic approach for acetabular and pelvic ring injuries has gained acceptance since its initial descriptions in the early 1990s.
  • It offers advantages over the ilioinguinal approach by providing an intrapelvic view of the medial acetabulum.

Purpose of the Study:

  • To clarify the nomenclature and anatomical basis of the intrapelvic approach for acetabular and pelvic ring surgery.
  • To advocate for the consistent use of the term "Intrapelvic Approach".

Main Methods:

  • Review of historical descriptions and anatomical dissections of surgical approaches to the acetabulum and pelvis.
  • Comparison of the intrapelvic approach with the ilioinguinal and Rives-Stoppa approaches.

Main Results:

  • The intrapelvic approach allows anteromedial access to the anterior column and direct visualization of the quadrilateral plate and medial posterior column from within the true pelvis.
  • The Rives-Stoppa approach is a retromuscular technique for hernia repair and is distinct from the surgical approach used for acetabular fixation.
  • The Cheatle-Henry approach shares similarities with the currently used intrapelvic approach.

Conclusions:

  • The term "Intrapelvic Approach" accurately describes the surgical technique for acetabular and pelvic ring fixation.
  • Distinguishing the intrapelvic approach from the Rives-Stoppa approach is crucial for clarity in surgical literature and practice.