Kocher Langenbeck approach for emergency acetabular fixation is done in all, EXCEPT:: (A) Open fracture, (B) Progressive sciatic nerve injury, (C) Recurrent dislocation in spite of closed reduction and traction, (D) Open irrigation and debridement of the hip joint
Answer is B. Indications for Kocher Langenbeck approach: 1. Open reduction and internal fixation of acetabular fractures Posterior wall Posterior column Transverse posterior wall Posterior column-posterior wall T-type Transverse 2. Open irrigation and debridement of the hip joint 3. Recurrent dislocation in spite of closed reduction and traction Ref: Relevant surgical exposures edited by Bernard F. Morrey, M.D., Matthew C. Morrey, 2008, Page 134.