Technical TrickA Modified Anterior Exposure to the Acetabulum for Treatment of Difficult Anterior Acetabular FracturesLefaivre, Kelly A MD, FRCSC*; Starr, Adam J MD†; Reinert, Charles M MD†Author Information From the *Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX; and †Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Accepted for publication February 16, 2009. This study has no financial disclosures. Reprints: Kelly A. Lefaivre, MD, FRCSC, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Room G8, 323, Dallas, TX 75390-8870 (e-mail: [email protected]). Journal of Orthopaedic Trauma: May 2009 - Volume 23 - Issue 5 - p 370-378 doi: 10.1097/BOT.0b013e3181a5367c Buy Metrics Abstract Many approaches to the acetabulum have been described for the treatment of displaced acetabular fractures. However, the treatment of complex anterior column fractures remains difficult. Commonly used approaches allow access to the internal cortical surface of the anterior column or a limited view of the outer cortical surface of the anterior column. We present a modification of a traditional Smith-Peterson approach with osteotomies for extensile exposure to the anterior column of the acetabulum. © 2009 Lippincott Williams & Wilkins, Inc.