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Review Question - QID 3578

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QID 3578 (Type "3578" in App Search)
A 74-year-old man falls, sustaining the injury shown in Figures A through C. In surgical planning, what is the best surgical approach to treat this injury?
  • A
  • B
  • C

Kocher-Langenbeck

14%

480/3415

Watson-Jones

3%

96/3415

Extended iliofemoral

9%

304/3415

Ilioinguinal

73%

2498/3415

Hardinge

1%

22/3415

  • A
  • B
  • C

Select Answer to see Preferred Response

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Figures A through C depict and AP pelvis and Judet views of a T-type fracture of the right acetabulum. The ilioinguinal approach provides access to the anterior wall and anterior column for fracture fixation, in addition to allowing fixation of the nondisplaced posterior transverse fracture line. The lateral femoral cutaneous nerve (LFCN) is at risk in the superficial part of the dissection. Another option for the approach would be the modified Stoppa, which would also allow excellent access to the anterior column as well as the internal aspect of the iliac wing and quadrilateral plate.

Illustration A shows the five basic and 5 associated acetabular fractures.

Incorrect Answers:
Answer 1. Kocher-Langenbeck: access for posterior wall and column fractures
Answer 2. Watson-Jones: anterolateral approach best for the hip, not the anterior column of the acetabulum.
Answer 3. Extended iliofemoral: visualization for both column fractures
Answer 5. Hardinge approach: lateral approach for THA

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