Abstract
Fractures of two columns of the acetabulum according to the Letournel classification
are among the most common in frequency, indication and surgical complexity. These
are mainly the result of lateral compression mechanisms and are characterized by originating
a disconnected acetabulum from the axial skeleton. Its surgical treatment may include:
isolated anterior or posterior approach; combined, at the same surgical time or not;
or broad approaches. The authors present another surgical option with association
of the Kocher-Langenbeck pathway with the iliac crest approach simultaneously and
in the same positioning (lateral decubitus) based on the first three clinical cases
performed and their clinical and imaging results. In addition to the presentation
of the cases, a description of the three characteristic fragments of this type of
acetabular fractures, the approach pathway, and the reduction sequence performed are
made. From the results obtained and the associated advantages, the authors believe
that the addition of the iliac crest approach to the Kocher-Langenbeck pathway may
be a very attractive option to consider in the surgical treatment of properly selected
fractures of two columns of the acetabula.
Keywords
acetabulum - fractures, bone - pelvis
