{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T17:37:45Z","timestamp":1784569065565,"version":"3.55.0"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Injuries of the pelvic ring or the acetabulum are either to be found in young patients with high energy trauma mechanisms or in geriatric patients after simple falls with very low impact energy. The indication for surgical stabilization is given by the grade of instability. Exact knowledge of the different possible surgical approaches is essential for the planning of the surgical treatment. Both, knowledge of reachable anatomical structures and possible risks of the different approaches are important. In this review, we summarize the standard surgical approaches to the pelvic ring and to the acetabulum. We describe the reachable anatomical structures for each approach, approach-related pitfalls, and we focus on strategies to reduce approach-related complications.<\/jats:p>","DOI":"10.1055\/a-1023-4756","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T01:11:57Z","timestamp":1575421917000},"page":"144-152","source":"Crossref","is-referenced-by-count":9,"title":["Risks and Strategies to Avoid Approach-Related Complications During Operative Treatment of Pelvic Ring or Acetabular Fractures"],"prefix":"10.1055","volume":"159","author":[{"given":"Markus Alexander","family":"K\u00fcper","sequence":"additional","affiliation":[{"name":"Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Trulson","sequence":"additional","affiliation":[{"name":"Department for Trauma and Orthopaedic Surgery, BG Trauma Hospital Murnau"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Minarski","sequence":"additional","affiliation":[{"name":"Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Stuby","sequence":"additional","affiliation":[{"name":"Department for Trauma and Orthopaedic Surgery, BG Trauma Hospital Murnau"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"St\u00f6ckle","sequence":"additional","affiliation":[{"name":"Centre for Musculoskeletal Surgery, Charit\u00e9 University Medicine Berlin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Konrads","sequence":"additional","affiliation":[{"name":"Department for Trauma and Reconstructive Surgery, BG Hospital Tubingen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,12,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00113-011-2020-z","article-title":"Beckenringfrakturen im Alter \u2013 Die untersch\u00e4tzte osteoporotische Fraktur","volume":"114","author":"T Fuchs","year":"2011","journal-title":"Unfallchirurg"},{"key":"ref2","first-page":"70","article-title":"Osteoporotc pelvic fractures","volume":"115","author":"L Oberkircher","year":"2018","journal-title":"Dtsch Arztebl Int"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s00113-014-2558-7","article-title":"Aktuelle Behandlung der Beckenringfraktur","volume":"117","author":"U Culemann","year":"2014","journal-title":"Unfallchirurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00068-015-0530-z","article-title":"Fragility fractures of the sacrum: how to identify and when to treat surgically?","volume":"41","author":"D Wagner","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s00104-012-2391-x","article-title":"Aktuelle Behandlung der Beckenringfraktur","volume":"84","author":"U Culemann","year":"2013","journal-title":"Chirurg"},{"issue":"S 01","key":"ref6","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and Dislocation Classification Compendium\u20132018","volume":"32","author":"E G Meinberg","year":"2018","journal-title":"J Orthop Trauma"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1016\/j.injury.2013.06.023","article-title":"Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment","volume":"44","author":"P M Rommens","year":"2013","journal-title":"Injury"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"987","DOI":"10.2106\/JBJS.18.00930","article-title":"Fragility fractures of the pelvis classification: a multicenter assessment of the intra-rater and inter-rater reliabilities and percentage of agreement","volume":"101","author":"P Pieroh","year":"2019","journal-title":"J Bone Joint Surg Am"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"128","DOI":"10.4103\/ortho.IJOrtho_631_17","article-title":"When and how to operate fragility fractures of the pelvis?","volume":"53","author":"P M Rommens","year":"2019","journal-title":"Indian J Orthop"},{"key":"ref10","first-page":"1735","article-title":"\u00dcber die Vorteile des suprasymphys\u00e4ren Fascienquerschnitts f\u00fcr die gyn\u00e4kologischen Koliotomien. 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