Surgical Approaches for Acetabulum Fracture Treatment: Analytic Review

Background. The use of classical and modified surgical approaches to acetabulum is accompanied by serious intra- postoperative complications associated with tissues, vessels, nerves, lymphatic structures injury. choice approach affects the time blood loss volume.
 aim review was compare volume using different based on relevant literature analysis.
 Methods. search carried out in PubMed/MEDLINE Scopus databases from 1964 2022. When conducting a for phrases acetabular fractures, acetabulum, 4368 articles were found. As result selection, 12 publications containing most complete information studied indicators included quantitative Results. data treatment 540 patients fractures analyzed. average age 45.211.6 years. Among causes pelvic road accident (70.4%) falls height (21.3%) largely prevailed. depended specific or their combination, time. shortest (101.027.0 min.) required pararectal approach, longest (26456.4 ilio-inguinal approach. largest observed Pfannenstiel 1057.1377.9 ml. No statistically significant differences found when comparing Kocher-Langenbeck (793328 ml), (82864 ml) (798322 Performing lateral position reduces 16.8% 12.4% compared prone position.
 Conclusion. Comparative clinical studies are determine safest depending type fracture, mechanism injury patient.