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Kocher-Langenbeck Approach to the Hip

Posterior Hip Approach

A trauma surgeon is planning to perform a Kocher-Langenbeck approach for fixation of a posterior wall acetabular fracture in a 35-year-old male. The patient is positioned lateral decubitus with the affected side up. Regarding the surgical anatomy and patient positioning for the Kocher-Langenbeck approach:

Mark each as TRUE or FALSE

A

Patient positioning options include lateral decubitus (most common for acetabular fractures), prone ...

B

The skin incision curves from 6cm below the posterior superior iliac spine (PSIS), over the greater ...

C

The gluteus medius muscle is routinely divided during the Kocher-Langenbeck approach; the hip abduct...

D

The short external rotators (piriformis, gemelli, obturator internus) are identified as the first de...

E

The greater and lesser sciatic notches are key bony landmarks; the greater sciatic notch contains th...

Answer the questions to see explanations

Click T (True) or F (False) for each option