Anteriore Zugänge zum Acetabulum

Keel, Marius; Bastian, Johannes Dominik; Büchler, Lorenz; Siebenrock, Klaus A.

doi:10.1007/s00113-012-2332-7

Cited by 27 publications

(2 citation statements)

References 24 publications

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“…According to the registry data, this approach is not popular in German hospitals with only 0.1% of all approaches. Regardless of which approach is used, particular attention should be paid to retraction [9] as well as to avoid trapping of the nerve during reduction of fracture fragments [2,4,12,13,16,20].…”

Section: Discussionmentioning

confidence: 99%

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Lehmann

Hoffmann

Fensky

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Acetabular fractures and surgical interventions used to treat them can result in nerve injuries. To date, only small case studies have tried to explore the frequency of nerve injuries and their association with patient and treatment characteristics. High-quality data on the risk of traumatic and iatrogenic nerve lesions and their epidemiology in relation to different fracture types and surgical approaches are lacking. Questions/purposes The purpose of this study was to determine (1) the proportion of patients who develop nerve injuries after acetabular fracture; (2) which fracture type(s) are associated with increased nerve injury risk; and (3) which surgical approach was associated with the highest proportion of patients developing nerve injuries using data from the German Pelvic Trauma Registry. Two secondary aims were (4) to assess hospital volume-nerve-injury relationship; and (5) internal data validity. Methods Between March 2001 and June 2012, 2236 patients with acetabular fractures were entered into a prospectively maintained registry from 29 hospitals; of those, 2073 (92.7%) had complete records on the endpoints of interest in this retrospective study and were analyzed. The neurological status in these patients was captured at their admission and at the discharge. A total of 1395 of 2073 (67%) patients underwent surgery, and the proportions of intervention-related and other hospital-acquired nerve injuries were obtained. Overall proportions of patients developing nerve injuries, risk based on fracture type, and risk of surgical approach type were analyzed.

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Section: Discussionmentioning

confidence: 99%

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Lehmann

Hoffmann

Fensky

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…durch partielles Ablösen der Abdominalmuskulatur, eine Exploration der Symphysenregion sowie des oberen Schambeinastes möglich. Bei Bedarf kann über diesen Zugang bis auf die quadrilaterale Fläche und die Incisura ischiadica exploriert werden [3,5].…”

Section: Merkeunclassified

Zugänge zum vorderen Beckenring

Minarski¹,

Stöckle²,

Küper³

et al. 2018

OP-JOURNAL

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ZusammenfassungDie Inzidenz von operativ versorgungspflichtigen Beckenverletzungen steigt in den letzten Jahren vor allem bei älteren Patienten. Die Kenntnis aller anwendbaren Zugangsmöglichkeiten und die richtige Indikationsstellung für den operativen Zugang ist für den Operateur unerlässlich. In diesem Artikel werden die häufigsten ventralen Zugänge zum Beckenring und zum Azetabulum beschrieben.

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Ilio-Inguinal Approach

Büchler

Anwander

2019

Fracture Management Joint by Joint

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Anteriore Zugänge zum Acetabulum

Cited by 27 publications

References 24 publications

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

What Is the Frequency of Nerve Injuries Associated With Acetabular Fractures?

Zugänge zum vorderen Beckenring

Ilio-Inguinal Approach

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