What is the Kocher Langenbeck approach?

The Kocher-Langenbeck approach is the workhorse for the reduction and fixation of hip fractures that require fixation via a posterior approach1,2. It provides direct access to the outer surface of the posterior column and posterior wall and indirect access to the superior wall and quadrilateral surface.

What is Gibson approach?

33. POSTEROLATERAL (GIBSON) APPROACH. USES. This approach is used for hip prostheses, for piriformis releases in cases where the sciatic nerve is being compressed by that muscle, and for resection of the greater trochanteric bursa.

In which of the following positions can the patient be placed during a Kocher Langenbeck approach?

The Kocher-Langenbeck approach can be performed either in the prone (as illustrated) or lateral position. The maintenance of knee flexion (at 90°) and hip extension throughout the procedure reduces tension on the sciatic nerve.

What is a trochanteric flip osteotomy?

The trochanteric flip approach uses an osteotomy of the greater trochanter, leaving the vastus lateralis and gluteus medius muscles attached to the fragment. The trochanteric fragment is flipped anteriorly, with mobilization of the gluteus medius and minimus muscles from the underlying structures.

What 3 bones make up the acetabulum?

As indicated above, the acetabulum is formed from parts of the ilium, ischium, and pubis. The acetabulum is the cup-shaped socket on the lateral aspect of the pelvis, which articulates with the head of the femur to form the hip joint. The margin of the acetabulum is deficient inferiorly.

Why is it called acetabulum?

History. The word acetabulum literally means “little vinegar cup”. It was the Latin word for a small vessel for serving vinegar.

What’s a posterior wall fracture?

A posterior wall acetabular fracture is a specific break in the back part of your hip socket. This back wall of bone is important as it helps keep the ball of your femur in the socket.

What is Gibson interval?

5. Gibson interval. The fascia lata is incised longitudinally and proximally from the most distal extent of the wound up to the greater trochanter. The incision is continued along the anterior border of the gluteus maximus (Gibson approach).

What is a Pipkin fracture?

Pipkin classification is the most commonly used classification for femoral head fractures, which are uncommon but are associated with hip dislocations.