Kocher-Langenbeck Approach in Prone Position
Background: The posterior approach for acetabular fractures is the Kocher-Langenbeck (K-L) approach which is performed in lateral and prone positions. Lateral position is a familiar position for most orthopedic surgeons. Prone position yields multiple advantages compared to lateral position. Methods...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2020-05-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/153 |
| _version_ | 1818565208756453376 |
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| author | Seyyed Hossein Shafiei Babak Siavashi Farhad Mahdavi Mohammad Heshmati Mohammad Reza Sadeghi Mohammad Reza Golbakhsh |
| author_facet | Seyyed Hossein Shafiei Babak Siavashi Farhad Mahdavi Mohammad Heshmati Mohammad Reza Sadeghi Mohammad Reza Golbakhsh |
| author_sort | Seyyed Hossein Shafiei |
| collection | DOAJ |
| description | Background: The posterior approach for acetabular fractures is the Kocher-Langenbeck (K-L) approach which is performed in lateral and prone positions. Lateral position is a familiar position for most orthopedic surgeons. Prone position yields multiple advantages compared to lateral position.
Methods: Between the years 2016 and 2019, 18 patients with selected acetabular fractures in which the best decision was surgical fixation using K-L approach were studied. The surgical procedure was done using K-L approach with the patient in the prone position and we used Matta scoring system to evaluate post-operative reduction quality.
Results: According to the Matta system, the anatomic reduction was observed in 13 patients (86.6%). Imperfect reduction was observed in 2 patients (13.3%), no patient had a poor reduction. Avascular necrosis (AVN) of the femoral head was seen in one patient (6.6%) and no infection and heterotopic ossification (HO) was noted.
Conclusions: The advantage of this approach in a prone position is believed to be better exposure and greater access to the quadrilateral plate (QLP) and anterior column indirectly. One of the most important advantages is that in the prone position, handling the reduction devices to indirectly reduce anterior column or QLP is much easier. |
| first_indexed | 2024-12-14T01:38:18Z |
| format | Article |
| id | doaj.art-5a911531cc874436970bd7e8da2a06b2 |
| institution | Directory Open Access Journal |
| issn | 2538-2330 2538-4600 |
| language | English |
| last_indexed | 2024-12-14T01:38:18Z |
| publishDate | 2020-05-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj.art-5a911531cc874436970bd7e8da2a06b22022-12-21T23:21:49ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002020-05-014410.18502/jost.v4i4.3096Kocher-Langenbeck Approach in Prone PositionSeyyed Hossein Shafiei0Babak Siavashi1Farhad Mahdavi2Mohammad Heshmati3Mohammad Reza Sadeghi4Mohammad Reza Golbakhsh5Assistant Professor, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranAssociate Professor, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranOrthopedic Assistant, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranOrthopedic Assistant, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranOrthopedic Assistant, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranAssociate Professor, Department of Orthopaedic Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranBackground: The posterior approach for acetabular fractures is the Kocher-Langenbeck (K-L) approach which is performed in lateral and prone positions. Lateral position is a familiar position for most orthopedic surgeons. Prone position yields multiple advantages compared to lateral position. Methods: Between the years 2016 and 2019, 18 patients with selected acetabular fractures in which the best decision was surgical fixation using K-L approach were studied. The surgical procedure was done using K-L approach with the patient in the prone position and we used Matta scoring system to evaluate post-operative reduction quality. Results: According to the Matta system, the anatomic reduction was observed in 13 patients (86.6%). Imperfect reduction was observed in 2 patients (13.3%), no patient had a poor reduction. Avascular necrosis (AVN) of the femoral head was seen in one patient (6.6%) and no infection and heterotopic ossification (HO) was noted. Conclusions: The advantage of this approach in a prone position is believed to be better exposure and greater access to the quadrilateral plate (QLP) and anterior column indirectly. One of the most important advantages is that in the prone position, handling the reduction devices to indirectly reduce anterior column or QLP is much easier.https://jost.tums.ac.ir/index.php/jost/article/view/153Kocher-Langenbeck; Prone Position; Fracture Fixation, Internal |
| spellingShingle | Seyyed Hossein Shafiei Babak Siavashi Farhad Mahdavi Mohammad Heshmati Mohammad Reza Sadeghi Mohammad Reza Golbakhsh Kocher-Langenbeck Approach in Prone Position Journal of Orthopedic and Spine Trauma Kocher-Langenbeck; Prone Position; Fracture Fixation, Internal |
| title | Kocher-Langenbeck Approach in Prone Position |
| title_full | Kocher-Langenbeck Approach in Prone Position |
| title_fullStr | Kocher-Langenbeck Approach in Prone Position |
| title_full_unstemmed | Kocher-Langenbeck Approach in Prone Position |
| title_short | Kocher-Langenbeck Approach in Prone Position |
| title_sort | kocher langenbeck approach in prone position |
| topic | Kocher-Langenbeck; Prone Position; Fracture Fixation, Internal |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/153 |
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