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