Hemostasis in Kocher-Langenbeck Approaches for Acetabular Surgery Using a Topical Surgical Hemostat (Vitagel)

Inclusion Criteria

• •Acetabular fracture deemed to require open reduction and internal fixation by one of the three principle attending surgeons.
• •Fixation must require a single non-extensile posterior approach (Kocher-Langenbeck)
• •Posterior wall, Posterior column, certain simple transverse and transverse associated with a posterior wall, T-type, and posterior wall-posterior column fracture types
• •Ages 18-65
• •Patient or family must consent to the research protocol
• •Unstable hemoglobin levels for three days prior to acetabular surgery (i.e. no other bleeding sources)
• •Revision surgery
• •Surgery occurring more than two weeks post-injury
• •History of blood dyscrasias or immunocompromised patients
• •Patients with medical conditions requiring anticoagulation or international normalized ratio (INR) above 1.5
• •Obese patients (BMI \>35)
• •Known ongoing infection (local or systemic)
• •Pregnant women