SIAI refixation
Fracture of the Spina Iliaca Inferior in young patients.
Generally this occurs with hyperextension trauma and contracted rectus muscle. The patient has painful active hip flexion. Diagnosis is done by Rx, RMN or echographic images.
Surgery: short anterior approach to the hip
here: left hip, signed the SIAS, trochanter; the dotted line is above the septum intermuscolaris
The incision is distal and lateral to the spina iliaca anterior superior, about 5-6 cm
Incision of the fascia latae above the tensor muscle.
Then between tensor and sartorius you reach the anterior region of the acetabulum, where you can feel the dislocated fragment; fixation with screw and aggressive washer
Post OP: no weigth bearing a
nd no active hip flexion for about 3-4 weeks. Then ligth contact for further 2-3 weeks.