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neurological injury. Diagnosis The knee dislocation may be associated with fractures, and plain radiographs should be supplemented with computed tomography (CT) where indicated. Magnetic resonance imaging (MRI) is indicated in all multi-ligament
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can be considered as a ‘ring’ in which bones and ligaments contribute to the overall stability. If this ‘ring’ is broken at one site only, it remains stable, but if it is broken at two or more sites, it becomes unstable. The ankle is also divided into
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. Longitudinal force during elbow flexion may be the cause of this subset, similar to the mechanism of posterior dislocaiton of the elbow, though the humeroulnar ligament is often intact. (IIIa) Apex posterior fracture of ulna, and posterior dislocation of the
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fixation of all fracture fragments is essential to address concomitant ligament instability. Therapeutic management is in accordance with that of comminuted olecranon fractures, with stable restoration (locked plating) of the appropriate contour and
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. Regarding the technique, both autografts and synthetic ligaments have been used in various techniques; although numerous experimental cadaveric studies have been performed, there is a relative scarcity of clinical data. 7 – 12 This article reviews the
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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anterior sacroiliac ligaments (APC II or B2.3d). The intervention included stabilizing the pubic symphysis using a symphyseal plate and stabilizing the sacroiliac joint using an SI screw. Patients who had been treated with anterior plate fixation alone
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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immediate full weight-bearing. Any fracture involving the collateral ligament insertions should be very carefully evaluated as reconstruction might require the use of a rotating-hinge implant ( Figs 5 and 6 ). In cases with severe metaphyseal destruction
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joint with robust ligaments, and anteriorly by an amphiarthrosis joint with potent fibrocartilage together with strong ligaments ( Fig. 2 ). Thus, stability relies just upon the ligaments and the fibrocartilage, and not upon the joint shapes, as in
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% of the patients during the first 24 hours of admission. 13 Joint and knee ligament injuries are common, with a laxity up to 19%. 8 Fat embolism and compartment syndromes are also common. 1 , 4 , 14 It is mandatory to be aware of this
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the iliac crest to the ASIS. From there, it continues along the inguinal ligament to the midline, ending approximately two centimetres cranial to the pubic symphysis. With further exposure, the ilioinguinal approach opens three windows, which are used
