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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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Pernille Bovbjerg Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark

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Ditte Høgh Department of Orthopedic Surgery, Hospital of Southern Denmark, Odense, Denmark

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Lonnie Froberg Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark

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Hagen Schmal Department of Orthopedic Surgery, Odense University Hospital, Odense, Denmark
Clinic of Orthopaedic Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

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Moustapha Kassem Department of Endocrinology, Odense University Hospital, Odense, Denmark

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complications. 3 Osteoporosis is known to be a risk factor or even one of the major underlying reasons for low-energy fractures and the pelvis is a rather underestimated location for manifestation. Parathyroid hormone (PTH) is an important hormone in

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Maria Anna Smolle Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Joanna Szkandera Division of Clinical Oncology, Internal Medicine, Medical University of Graz, Graz, Austria

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Dimosthenis Andreou Division of Orthopaedic Oncology and Sarcoma Surgery, Helios Klinikum Bad Saarow, Sarcoma Center Berlin-Brandenburg, Berlin, Germany

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Emanuela Palmerini Chemotherapy Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna University, Bologna, Italy

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Marko Bergovec Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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Andreas Leithner Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria

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the extremities and pelvis. 1 Complete surgical resection is the gold standard in multimodal treatment plans with curative intent. 3 Most STS of the extremities are resectable at initial presentation, while patients with locally advanced

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Yun Yang Department of Orthopaedics, The Third People’s Hospital of Chengdu, Sichuan, PR China

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Yin-xiao Peng Department of Orthopaedics, The Third People’s Hospital of Chengdu, Sichuan, PR China

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Bin Yu Department of Orthopaedics, The Third People’s Hospital of Chengdu, Sichuan, PR China

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. In 1999, Müller et al. proposed a type C floating hip characterized by pelvic ring, acetabular, and femoral fractures ( 3 ). High-energy violence is often required to generate these entities. Due to the abundant blood supply of the pelvis or

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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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Javier Pizones Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Eduardo García-Rey Hip Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Introduction Humans evolved from primates to become bipeds, leaving their upper limbs free for handling. The morphology of the pelvis had to change to become thinner, wider and more horizontal, to be the base upon which the spine stands erect

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Angelika Ramesh Department of Mechanical Engineering, University College London, United Kingdom
Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom

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Anna Di Laura Department of Mechanical Engineering, University College London, United Kingdom
Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom

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Johann Henckel Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom

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Alister Hart Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom
Institute of Orthopaedics and Musculoskeletal Science, University College London, United Kingdom
Cleveland Clinic London, United Kingdom

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patient’s bony anatomy. Adequate image quality is thus paramount for bony landmarks of the pelvis to be clearly identified, since this will directly impact the fitting of the guides/implants and the long-term outcome of the surgery ( 13 , 14 ). CT scans

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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Francesco Benazzo Chirurgia Protesica ad Indirizzo Robotico, Fondazione Poliambulanza, Brescia, Italy

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Dante Dallari Reconstructive Orthopaedic Surgery and Innovative Techniques – Musculoskeletal Tissue Bank, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Falez Department of Orthopaedics and Traumatology, ASL Roma 1, S. Filippo Neri Hospital, Rome, Italy

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Giuseppe Solarino Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic & Trauma Unit, School of Medicine, University of Bari Aldo Moro, AOU Consorziale ‘Policlinico’, Bari, Italy

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Rocco D’Apolito Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Claudio Carlo Castelli FROM, Research Foundation Papa Giovanni XXIII Hospital, Bergamo, Italy

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equilibrium influences the 3D orientation of the acetabulum and the functional ROM of the hips ( 5 ). The spine, the pelvis, and the hip move in coordination with one another during activities of everyday living, and the acetabulum changes its 3D orientation

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