Z Orthop Unfall
DOI: 10.1055/a-1023-4756
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Risks and Strategies to Avoid Approach-Related Complications During Operative Treatment of Pelvic Ring or Acetabular Fractures

Article in several languages: English | deutsch
Markus Alexander Küper
1  Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen
,
Alexander Trulson
2  Department for Trauma and Orthopaedic Surgery, BG Trauma Hospital Murnau
,
Christian Minarski
1  Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen
,
Fabian Stuby
2  Department for Trauma and Orthopaedic Surgery, BG Trauma Hospital Murnau
,
Ulrich Stöckle
3  Centre for Musculoskeletal Surgery, Charité University Medicine Berlin
,
Christian Konrads
1  Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen
› Author Affiliations
Further Information

Publication History

Publication Date:
03 December 2019 (online)

Abstract

Injuries of the pelvic ring or the acetabulum are either to be found in young patients with high energy trauma mechanisms or in geriatric patients after simple falls with very low impact energy. The indication for surgical stabilization is given by the grade of instability. Exact knowledge of the different possible surgical approaches is essential for the planning of the surgical treatment. Both, knowledge of reachable anatomical structures and possible risks of the different approaches are important. In this review, we summarize the standard surgical approaches to the pelvic ring and to the acetabulum. We describe the reachable anatomical structures for each approach, approach-related pitfalls, and we focus on strategies to reduce approach-related complications.