Two-Incision Minimally Invasive Approach for the Treatment of Anterior Column Acetabular Fractures.

Introduction: We describe an alternative to the Letournel ilioinguinal approach for anterior column acetabular fractures that is performed with a unique retraction device that decreases the rate of soft-tissue complications.

Step 1 Position The Patient And Identify The Sites For The Incisions: Identify the sites for both incisions with the help of an image intensifier.

Step 2 Make The First Incision To Expose The Anterior Column And The Linea Terminalis Pelvic Brim: Make the first incision to expose the central area of the fracture.

Step 3 Make The Second Incision To Expose The Symphysis And The Ipsilateral Pubic Bone: Make the second incision to expose the area for the distal plate fixation.

Step 4 Maintain Exposure Of The Linea Terminalis Using A Soft-tissue Retraction System: For better visualization, use a soft-tissue retraction system.

Step 5 Reduce The Fracture: Clean and reduce the fracture through the first incision.

Step 6 Fix The Fracture: Perform temporary and definitive fixation according to the standards for anterior acetabular fracture fixation.

Step 7 Close The Wound: After radiographic documentation in three views, close the wound.

Results: We reported the results of a case-control study of the first twenty-six patients operated on with the two-incision minimally invasive technique.IndicationsContraindicationsPitfalls & Challenges.