Kocher Langenbeck approach for emergency acetabular fixation is done in all, EXCEPT:
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.
Open fracture
Progressive sciatic nerve injury
Recurrent dislocation in spite of closed reduction and traction
Open irrigation and debridement of the hip joint