Technical TricksModification of the Ilioinguinal ApproachKloen, P.*†; Siebenrock, Klaus A.*; Ganz, Reinhold*Author Information *Department of Orthopaedic Surgery, University of Bern, Inselspital, Bern, Switzerland; and †Fellow of M.E. Müller Foundation, Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands Accepted September 7, 2001. Address correspondence and reprint requests to Dr. K. A. Siebenrock, University of Berne, Orthopaedic Department, Inselspital, 3010 Berne, Switzerland. No financial support of the project has occurred. The authors have received nothing of value. The manuscript does not contain information about medical devices. Journal of Orthopaedic Trauma: September 2002 - Volume 16 - Issue 8 - p 586-593 Buy Abstract The classic ilioinguinal approach has become well established in the treatment of acetabular fractures. However, in certain cases with extensive low anterior column or anterior wall fractures less than optimal exposure may be obtained. The authors present a modification of the ilioinguinal approach by combining it with a Smith–Petersen approach with a modified skin incision. This provides improved visualization and access, especially in comminuted low anterior column and anterior wall fractures, may facilitate reduction maneuvers to the quadrilateral surface, and allows the option of intraarticular inspection. In addition, the risk of iatrogenic lateral femoral cutaneous nerve damage is diminished. In this article the technique of this modification is described and illustrated. © 2002 Lippincott Williams & Wilkins, Inc.