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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type II (APC II) injuries show symphysis widening and rupture of the anterior sacroiliac complex. These injuries can be treated with anterior plate fixation (SP fixation) alone or in combination with an additional posterior sacroiliac screw (SP
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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, (C) outlet, and (D) inlet fluoroscopic views showing stabilization of the fracture with spinopelvic fixation and sacroiliac screws to S1 body (triangular configuration). Pubis symphysis was stabilized with plating anteriorly. Transsacral
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. Ilioinguinal approach: the standard The ilioinguinal approach as described by Letournel allows the visualization of the iliac fossa, the entire anterior column and the quadrilateral surface of the acetabulum from the pubic symphysis to the sacroiliac (SI
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sacral bone and the iliac wings, and the symphysis, which connects the two pubic rami. While the symphysis is composed of a combination of hyaline and fibrous cartilage, 1 the SI joints mainly consist of fibrous cartilage combined with a strong joint
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sacroiliac – anterior (ASIL) and posterior) and long ligaments (sacro-sciatic ligament (SSL) and sacro-ischial ligament (SIL)). Anteriorly both iliac bones are directly joined together in the symphysis pubis (SP) by an amphiarthrosis joint with potent
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single surgery, using a Pfannenstiel approach, and the superior window of the ilio-inguinal approach. It is recommended to use plates and 3.5 mm screws in the symphysis, and for the posterior ring we always combine two different types of osteosynthesis
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) In 1961, Salter first described a complete innominate osteotomy for stabilizing the reduced hip by redirection of the entire acetabulum. The pubic symphysis serves as a rotating hinge, and the acetabulum is redirected to cover the anterolateral
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: MS30 Zimmer UCM stem : CR-stem Implantacast UCM cup : screw-cups SC Aesculap 46 men, 61 women, average age 70.7 years (range 42–88 years) 101 OA, 14 aseptic necroses of the femoral head, 5 OA due to dysplasia IHE 11/16 Gallart et al 2012
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; avascular necrosis of the femoral head; tubercular or fungal infection; rheumatic disease; septic arthritis involving other joints (knee, shoulder, sternoclavicular, wrist, pubic symphysis); tumours; hip osteoarthritis or impingement; hip dysplasia; not a
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Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
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screw ( 26 ). Poorer results have been observed when scaphoid non-union is managed with non-vascularized distal radius grafts (73% union), though this improves with the use of a vascularized distal radius graft (89% union) ( 27 ). In a randomized trial
