The Ilioinguinal Approach versus the Anterior Intrapelvic Approach to the Acetabulum: A Review

Authors

  • Ilir Hasani University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Igor Kaftandziev University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Simon Trpeski University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Ljupco Nikolov University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Alek Saveski University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Gjorgji Velkovski University Clinic for Traumatology, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2013.027

Keywords:

acetabulum, anterior intrapelvic approach, Stoppa approach, modification of Stoppa approach, minimally invasive anterior approach to the acetabulum, review.

Abstract

The ilioinguinal approach (IIA) to the acetabulum has been used as a golden standard for fifty years to treat “anterior†acetabular fractures. Since its introduction by Hirvensalo and Cole, the anterior intrapelvic approach (AIPA) has been adopted by some surgeons, whilst others remain devoted to the IIA. IIA is routinely used in the Republic of Macedonia. The aim of this study is to present a review of literature for two different anterior approaches for the treatment of acetabular fractures used in modern day surgery, focussing on AIPA and its priorities and comparing it to IIA.

We performed a search, mainly electronically, and retrospective analysis of existing literature. We have identified and selected two representative and well-systematized papers for IIA, and six for AIPA.

We presented the advantages and disadvantages, priorities and weaknesses of both approaches separately, comparing complications, risks and results.

Based on the facts presented regarding the advantages of AIPA with a focus on visualization, accessibility and biomechanical justification, the approach should be implemented in our everyday practice and we are comfortable in stating this preference, especially due to the fact that upon comparison of the complication rate there is no significant difference between the two approaches.

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Published

2013-12-15

How to Cite

1.
Hasani I, Kaftandziev I, Trpeski S, Nikolov L, Saveski A, Velkovski G. The Ilioinguinal Approach versus the Anterior Intrapelvic Approach to the Acetabulum: A Review. Open Access Maced J Med Sci [Internet]. 2013 Dec. 15 [cited 2021 Apr. 12];1(1):140-7. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2013.027

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Section

F - Review Articles

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