Anterior Intrapelvic Approach: A Comprehensive Understanding of the Anatomy.

J Am Acad Orthop Surg · Oct 01 2025 · Review

David G, Sagi CH, Guy P, Mauffrey C

From the University Hospital of Angers, France (David), the University of Cincinnati (Sagi), CO (Mauffrey)

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review provides a detailed anatomical roadmap of the anterior intrapelvic approach, focusing on at-risk nonorthopaedic structures to help trauma surgeons perform acetabular fixation more safely.
Abstract, as published

The anterior intrapelvic (AIP) approach has become a standard technique for the fixation of acetabular fractures. While the critical steps for performing the AIP approach are well described in the literature, a comprehensive overview of the anatomical structures at risk remains limited. This review aims to provide an in-depth understanding of the AIP approach with a focus on the historically "nonorthopaedic" surgical anatomy and associated risks. Ultimately, this knowledge empowers orthopaedic trauma surgeons to perform acetabular surgery with improved exposure, safety, and confidence.

Featured in the 2026-09-03 issue.

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