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rest of the limb. Type I (71%) constitutes the true ‘floating knee’ in which neither the femoral nor the tibia fracture extends to the knee, instep or hip. Type II (29%) is a variant in which one or both fractures involve the knee. 2
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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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brake reaction time (TBRT) ( 6 ). TBRT is the time interval between the activation of a signal to the beginning of force application to the brake pedal, commonly reported in milliseconds (ms). Numerous studies have assessed TBRT post hip
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surgical view is present, such as in conventional total hip arthroplasty, intra-operative images are performed to confirm correct alignment and orientation of the implant, especially the acetabular cup, and to rule out accompanying fractures of the
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fracture by applying lateral pressure on the pelvis or by using the pins, and then the clamps are tightened. An additional rod may be used for added stability. Next, we verify that the hips can flex to 90°. Fig. 1 Unnecessarily long incisions should
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wing is too thin for that ( Fig. 13 ). Conversely, insertion above the hip joint, at the height of the anteroinferior iliac spine, is very robust and needs only one 5–7 mm-diameter pin on each side. This supracetabular insertion also allows the frame
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom
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of early cross-sectional diagnostic imaging of the severely injured remains critical. Before the validated report of a trauma CT scan (contrast-enhanced multiphasic thin sliced from the head to the hips), diagnosis is considered incomplete at least
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after hip fracture by timing of mobilization and dementia : a UK database study . Bone and Joint Journal 2021 103–B 1317 – 1324 . ( https://doi.org/10.1302/0301-620X.103B7.BJJ-2020-2349.R1 ) 28 Neradi D Sodavarapu P Jindal K Kumar D Kumar V
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al. ( 47 ) applied the nail-and-plate construct to nine patients with non-comminuted interprosthetic distal femoral fractures between a total hip arthroplasty and TKA. Immediate weight-bearing with the use of a walker was initiated after the surgery
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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Jo S . Pelvic insufficiency fracture in severe osteoporosis patient . Hip Pelvis 2017 ; 29 : 120 – 126 . 43. Baldwin MJ Tucker LJ . Sacral insufficiency fractures: a case of mistaken identity . Int Med Case Rep J
