A T-shaped acetabular fracture (Letournel associated type) with displacement of both columns is planned for operative fixation. Which surgical approach provides the most extensive access to both the anterior and posterior columns for this fracture pattern?

• A Kocher-Langenbeck approach alone
• B Ilioinguinal approach alone
• C Modified Stoppa approach
• D Extended iliofemoral approach ✓

Explanation

The extended iliofemoral approach provides simultaneous access to both the anterior and posterior columns, making it suitable for complex associated fracture patterns like T-shaped fractures with bilateral column involvement. Kocher-Langenbeck only addresses the posterior column/wall. The ilioinguinal and modified Stoppa approaches access the anterior column and pelvic brim but not the posterior column adequately.

Reference: Rockwood and Green's Fractures in Adults, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.