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2012, Number 1

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Rev Med Inst Mex Seguro Soc 2012; 50 (1)

Demonstration of a new safe incision for acetabular fractures on cadaveric samples

Ramos-Maza E, García-Estrada F, Chávez-Covarrubias G

Language: Spanish
References: 37
Page: 25-31
PDF size: 75.17 Kb.


ABSTRACT

Background: acetabular fractures are very complex due to their fracture pattern, localization and surrounding anatomical structures. The aim was to demonstrate a safe anatomical corridor that allows a safe osteosynthesis in cadaveric specimens.
Methods: adult cadaveric specimens of any sex were used. A vertical 7 cm incision was made in the union of the second and medial third of a traced line from anterior-upper iliac spine to pubis tubercle. Dissection is done to reach the peritoneum and identification of iliopectineal line and all structures for development an acetabular osteosynthesis were evaluated.
Results: in 7 cadavers, 6 were male, the incision was performed bilaterally identifying all necessary structures to make acetabular osteosynthesis. In any case an important anatomical structure were founded thorough the incision. Suprapectineal and infrapectineal plates could be placed without structural damage.
Conclusions: it is possible to perform acetabular osteosynthesis using this incision representing a safe anatomical corridor with lower iatrogenic damage.


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