Acetabular Reconstruction Fixation Methods in Associated Fracture Patterns

Department of Orthopaedic Trauma, St. Elizabeth Health Center and Department of Orthopaedic Surgery, Northeastern Ohio Universities College of Medicine, Youngstown, Ohio, U.S.A. Daniel R. Schlatterer and Robert M. Harris Department of Orthopaedic Trauma, Atlanta Medical Center, Atlanta, Georgia, U.S.A. INTRODUCTION TO ASSOCIATED FRACTURE PATTERNS OF THE ACETABULUM The associated patterns of acetabular fractures were described by Letournel and are described elsewhere in this text. They tend to...

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Figure 10 (Continued) (C) Axial CT scan at level of anterior inferior iliac spine. Note how a screw placed at this level will be nearly perpendicular to the transverse fracture line. (D) Obturator outlet fluoroscopy image demonstrating guide wire position within iliac inner and outer tables and just cephalad to the hip joint. The Farabeuf clamp is used to effect a reduction (not shown), and the iliac oblique view (E) can provide an end-on view of the anterior column to facilitate screw...

Sexual Functioning

Pelvic fractures have also been shown to affect genitourinary and sexual functioning in both males and females. These effects have been found to be both physiological and psychological in nature. All studies have reported that pelvic fractures create a risk for genitourinary and sexual dysfunction, and that multifactorial, genitourinary, and sexual dysfunction have been shown to have a profound impact on a person's life. In males, sexual function following pelvic fracture has been studied in...

Emergency Surgery

The emergency surgical management of patients with mechanically unstable pelvic injuries and hypovolemic shock begins in the emergency room. Advanced trauma lifesupport teaching is now widely applied 9 . Shock recognition is followed by search for the source of hemorrhage while volume resuscitation is initiated. Clues to the nature of pelvic injuries are obtained from the history of injury e.g., a fall from a height or a motorcyclist sustaining a straddle injury and physical examination....

Anterolateral Approach To The Iliac Wing

The anterolateral Olerud approach, corresponding to the first window of the ilioinguinal Letournel approach Fig. 2 , allows exposure of the iliac wing and direct access to the anterior part of the SI joint. This approach is used for reduction and fixation of iliac wing fractures, transiliosacral crescent fractures, and disruptions of the SI joint. Apart from excellent direct visual control of these anatomical structures, optimal guidance of the drilling direction close to the SI joint is...