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Archives of Orthopaedic and Trauma Surgery

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01-02-2011 | Trauma Surgery

Anatomical considerations of the internal iliac artery in association with the ilioinguinal approach for anterior acetabular fracture fixation

Authors: Nakul Karkare, Richard A. Yeasting, Nabil A. Ebraheim, Norman Espinosa, Max J. Scheyerer, Clément M. L. Werner

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2011

Abstract

Introduction

Vascular injury may be encountered during an anterior approach to the pelvis or acetabulum—be it due to hematoma decompression, clot dislodgement during fracture manipulation, or iatrogenic. This can be associated with significant bleeding, hemodynamic instability, and subsequent morbidity. If the exact source of bleeding cannot be easily identified, compression of the internal iliac artery may be a lifesaving procedure.

Materials and methods

We describe an extension of the lateral window of the ilioinguinal (or Olerud) approach elaborated on cadavers.

Results

The approach allows emergent access the internal iliac artery and intraoperative cross-clamping of the internal iliac vessels to control bleeding.

Conclusion

The approach allows rapid access to the internal iliac artery. The surgeon should be familiar, however, with the surgical anatomy of this region to avoid potential injury to the ureter, peritoneum, lymphatics, and sympathetic nerves overlying the vessels when using the approach described.

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Title: Anatomical considerations of the internal iliac artery in association with the ilioinguinal approach for anterior acetabular fracture fixation
Authors: Nakul Karkare
Richard A. Yeasting
Nabil A. Ebraheim
Norman Espinosa
Max J. Scheyerer
Clément M. L. Werner
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 2/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1143-y

At a glance: The STEP trials

Springer Medicine

Anatomical considerations of the internal iliac artery in association with the ilioinguinal approach for anterior acetabular fracture fixation

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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