Pelvic, acetabular, hip, and proximal femur fractures: Surgical exposures and treatment of nerve injury

Mitchel R. Obey, Kitty Wu, Christopher J. Dy, Milton T. Little

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The treatment of pelvic and acetabular fractures is a challenging area of orthopedic surgery, owing to the significant technical learning curve, and complexity of surgical dissection and exposures. An important step toward achieving a good long-term clinical outcome in these patients is an anatomical reduction of these injuries. This requires an elegant and careful dissection to obtain adequate surgical exposure in order to safely complete the surgery. There are a number of classic approaches to the pelvis and acetabulum that are familiar to orthopedic surgeons, and choosing the correct approach requires a thorough understanding of the fracture pattern because no single approach will allow the surgeon access to the entire acetabulum. The neuroanatomy of the pelvis is very complex, and without an intimate understanding of the relationship between bony structures and neighboring neurovasculature, the risk of inadvertent injury remains high, and may lead to poor surgical outcomes.

Original languageEnglish
Title of host publicationPeripheral Nerve Issues after Orthopedic Surgery
Subtitle of host publicationA Multidisciplinary Approach to Prevention, Evaluation and Treatment
PublisherSpringer International Publishing
Number of pages21
ISBN (Electronic)9783030844288
ISBN (Print)9783030844271
StatePublished - Nov 15 2021


  • Acetabular fracture
  • Femoral nerve
  • Lateral femoral cutaneous nerve
  • Pelvic fracture
  • Pelvic neuroanatomy
  • Sciatic nerve


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