الفهرس 
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Abstract
SUMMARY AND CONCLUSION
Ilioinguinal & modified ilioinguinal approaches remain
the most commonly used procedures in management of anterior
acetabular fractures with satisfactory outcomes, however, it was
concluded that the modified ilioinguinal approach is preferred
recently over the ilioinguinal approach which is attributed to its
advantages of shorter operative time, relatively less amount of
blood loss & blood transfusion requirements & relatively lower
risk of intraoperative neurovascular injury, higher rates of
anatomical reduction with allowing proper reduction & fixation
of additional pelvic fractures, pelvic nounions and
periacetabular osteotomies
It is a less invasive approach that avoids opening in the
inguinal canal, dissection around the femoral & lymphatic
vessels & easier identification.
However there were no significant differences in terms of
postoperative deep venous thrombosis & pulmonary embolism
between both approaches & also in terms of final clinical
outcome assessment. Future studies are needed to study the
effect of choice of the surgical approach on the postoperative
complications & on the final clinical outcome of the patient &
proving if either approach directly improves either outcomes
or being more influenced by other parameters.
Finally it should be noticed that the orthopaedic surgeon
should be qualified to utilize either approaches & the choice
depends on the preoperative planning of appropriate
reduction & internal fixation which leads us to an important
result is that the best approach is that the surgeon best knows