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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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Clinic of Orthopaedic Surgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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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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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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. 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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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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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
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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( 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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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
Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom
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Royal National Orthopaedic Hospital NHS Trust, Stanmore, United Kingdom
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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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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