Letournel and Judet extended iliofemoral approach. A, Skin incision. B, Gluteal muscles and tensor fasciae latae have been partially elevated and retracted posteriorly. Lateral femoral circumflex vessels have been isolated. C, Tendon of gluteus minimus has been completely severed from anterior aspect of greater trochanter. Gluteus medius tendon has been partially incised. D, Reflection of piriformis, obturator internus, and gluteal muscles has exposed external surface of innominate bone. E, Internal surface of ilium and anterior acetabulum and hip joint have been exposed by reflection of iliacus, sartorius, and rectus femoris (see text). SEE TECHNIQUE 1.81.