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fractures which are different from high-energy trauma and will not be developed in this article. The sacrum, which has a triangular shape, is like a wedge inside the iliac crest via the sacroiliac joint (SIJ). The sacrum is attached to the pelvis by
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with the urinary bladder. The internal obturator muscle is then elevated by subperiosteal dissection and the infrapectineal bone can be exposed as far posterior as the sacroiliac joint. Fig. 3 Pararectus approach. After incising the aponeurosis of
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. Spinopelvic reconstruction should be considered, in relation to expected neurologic loss and functional instability ( Fig. 1 ), following a total or high sacrectomy or sacroiliac joint removal. Figure 1 Types of sacral bone resection: type 1 – low
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symphysis and sacroiliac joint. In this, a bicortical iliac osteotomy is done, which starts just above the AIIS and goes into the posterior column of acetabulum halfway between the sciatic notch and posterior acetabular rim and stops short of the ilio
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. Anatomy and biomechanics of the pelvic ring The pelvic ring consists of the sacrum and the two hip bones (each one of them consisting of an ischium, ilium and pubic bone) which are connected by three joints, namely two sacroiliac (SI) joints between the
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thereafter. 17 Nevertheless, some changes can be found due to sacroiliac joint movement (nutation and contra-nutation) caused by ageing or surgical lumbar fusion, usually not exceeding 5°. 18 , 19 PI is closely considered a fixed parameter
Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom
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Institute of Orthopaedics and Musculoskeletal Science, University College London, United Kingdom
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lesser trochanter up to superior origin of sacroiliac joints’ Lima Corp. 38–44 cm depending on patient size. ‘Start: Top of Iliac crest; Stop: Mid-femur or at least 3 cm below existing femoral implant. Perform two femoral condyle slices
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-articular hip pain and referred pain from the back or sacroiliac joints. It includes tumoural conditions of the joint, stress fractures of the femoral head or neck, osteitis pubis, adductor tendon injuries, iliopsoas tendon problems, piriformis syndrome, gluteus
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normal pelvis was mainly located around the acetabulum, arcuate line, sacroiliac joint and sacral midline both when sitting or standing, the stress distribution moved to the connecting rods of the acetabular component and the proximal segment of the
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included, 2 studies showed PRP might reduce graft maturity time (one used L-PRP, the other type was unknown). Sacroiliac joint instability Ko et al Clinically and statistically significant improvement in pain at 12 months post treatment
