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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Introduction The concept of the traumatic unstable pelvis in a stable patient means that the pelvis has a displacement that may compromise its future stability with abnormal mobility and pain due to non-union, malunion, or dislocation; but

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Christof Audretsch BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Alexander Trulson BG Trauma Center, Department of Trauma Surgery, Murnau am Staffelsee, Germany

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Andreas Höch Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Leipzig, Germany

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Steven C Herath BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Tina Histing BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Markus A Küper BG Trauma Center, Department for Traumatology and Reconstructive Surgery, University of Tübingen, Tübingen, Germany

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Working Group on Pelvic Fractures of the German Trauma Society
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is recommended for a roof-arc angle of <40° in at least one radiographic view (anterior-posterior (AP) or 45° oblique) of the pelvis ( 9 , 10 , 11 ), as a parameter of fracture displacement. It should be noted, however, that many of these fracture

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Cora Rebecca Schindler Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ramona Sturm Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Jason Alexander Hörauf Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Ingo Marzi Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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Philipp Störmann Department of Trauma-, Hand and Reconstructive Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

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ring is intact. B injuries result in partial instability of the pelvis. C injuries are characterized by three-dimensional instability of the pelvic ring, The AO spinal classification is based on the spinal classification according to Magerl et al

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Martin C Jordan Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany

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Konrad F Fuchs Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Steven C Herath Department for Traumatology and Reconstructive Surgery, BG Trauma Center, University of Tübingen, Tübingen, Germany

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Joachim Windolf TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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Rainer H Meffert Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany

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Anne Neubert TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany

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( 15 ) and five human cadaver studies ( 10 , 11 , 12 , 13 , 14 ). The studies were published in France, Germany, the Netherlands, and the USA between 1994 and 2021. A total of 33 pelvises were included in the human cadaver studies ( Table 3 ). Three

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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José M. Martínez-Diez Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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definitively treated, waiting for the surgical team (appropriate specialists) to be available, or waiting for the patient’s transfer to a referral centre. 1 – 5 Basic concepts Temporary EF of the pelvis can be life-saving for a haemodynamically

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Markus A. Küper BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Alexander Trulson BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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Fabian M. Stuby BG Trauma Center, Department for Traumatology, Orthopedics and Surgery, Murnau am Staffelsee, Germany

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Ulrich Stöckle BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University, Tübingen, Germany

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classification (Fragility Fractures of the Pelvis) especially integrates osteoporotic insufficiency fractures into the categorization of the injury. While the FFP classification provides some advantages in the elderly, an evaluation of the benefit is under

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Horacio Caviglia Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Adrian Mejail Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Maria Eulalia Landro Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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Nosratolah Vatani Department of Orthopaedic Surgery and Traumatology, Dr. Juan A. Fernández General Hospital, Argentina.

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pelvis under fluoroscopy is equal to 40 mSv of radiation or the equivalent of about 250 chest radiographs. Frank et al 29 reported that the average radiographic exposure time for placement of one cannulated screw in the anterior column using

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Tim Pohlemann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Steven C. Herath Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Benedikt J. Braun Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Mika F. Rollmann Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Tina Histing Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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Antonius Pizanis Department of Trauma, Hand and Reconstructive Surgery, Saarland University Hospital, Homburg, Germany

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pelvis. By retraction of the psoas and femoral nerve laterally and the vessels medially, the fascia can and must be divided safely down to the pubic bone. The psoas muscle’s fascial attachment to the pelvic brim is then divided to facilitate access to the

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Pedro Cano-Luís Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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Miguel Ángel Giráldez-Sánchez Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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Pablo Andrés-Cano Orthopaedic Surgery and Traumatology Department, Hospital Universitario Virgen del Rocío, Spain

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anterior region of the pelvis is typical in patients with residual pelvic instability after a pelvic fracture due to anteroposterior compression. 22 This pain may be due to the instability of the injured hemipelvis during load transfer, and in evolved

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Logan Petit Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Theodore Zaki Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA

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Walter Hsiang Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Michael P. Leslie Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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Daniel H. Wiznia Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA

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high peak loads between the rider’s pelvis and the motorcycle fuel tank. In one study, 85% of the pelvic injuries sustained by the patient were due to this type of mechanism. 24 The injuries most commonly associated with this injury mechanism

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