9,162 results match your criteria Fracture Pelvic


Rate of intraoperative problems during sacroiliac screw removal: expect the unexpected.

BMC Surg 2019 Apr 15;19(1):39. Epub 2019 Apr 15.

Department of Trauma, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.

Background: The indications for sacroiliac screw (SI) removal have been under debate. Data on complication rates of SI screw removal is missing in the current literature. The objective of this study was to compare the rate of intra- and perioperative problems and complications during SI screw removal to those with SI screw fixation. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0501-0DOI Listing
April 2019
1 Read

Characterization of Insufficiency Fracture and Bone Metastasis After Radiotherapy in Patients With Cervical Cancer Detected by Bone Scan: Role of Magnetic Resonance Imaging.

Front Oncol 2019 28;9:183. Epub 2019 Mar 28.

Department of Radiology, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, China.

Insufficiency fracture (IF) can show increased uptake on a bone scan (BS). IFs are often misinterpreted as bone metastases if the characteristic "Honda sign" (H-sign) is invisible. The purpose of the present study was to evaluate the utility of magnetic resonance imaging (MRI) alone for the characterization of IF and bone metastasis after radiotherapy in patients with cervical cancer detected by BS. Read More

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https://www.frontiersin.org/article/10.3389/fonc.2019.00183/
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http://dx.doi.org/10.3389/fonc.2019.00183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447664PMC
March 2019
3 Reads

[Effectiveness analysis of three-dimensional printing assisted surgery for unstable pelvic fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):455-461

Department of Orthopedics, the Fourth People's Hospital of Zigong, Zigong Sichuan, 643000, P.R.China.

Objective: To evaluate the effectiveness of three-dimensional (3D) printing assisted internal fixation for unstable pelvic fractures.

Methods: The clinical data of 28 patients with unstable pelvic fractures admitted between March 2015 and December 2017 were retrospectively analyzed. The patients were divided into two groups according to different surgical methods. Read More

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http://dx.doi.org/10.7507/1002-1892.201806045DOI Listing
April 2019
1 Read

[Fragility fractures of the pelvis].

Unfallchirurg 2019 Apr 12. Epub 2019 Apr 12.

Klinik für Unfallchirurgie und Orthopädie 1, Westpfalz-Klinikum Kaiserslautern, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland.

Fragility fractures of the pelvis are increasing in frequency. In most cases patients suffer a minor injury, have intense pain in the pelvic region and impaired mobility. The new fragility fractures of the pelvis (FFP) classification distinguishes between four types with increasing instability. Read More

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http://dx.doi.org/10.1007/s00113-019-0643-7DOI Listing

Long-term physical functioning and quality of life after pelvic ring injuries.

Arch Orthop Trauma Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Trauma Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Background: Pelvic ring injuries are serious injuries, often associated with substantial morbidity and mortality rates. The long-term consequences of these injuries might affect the patients' personal life. Our aim was to assess the long-term effects of pelvic ring injuries on physical functioning and quality of life (QoL) using validated patient-reported outcome measures (PROMs) and comparing these results to normative data from the general population. Read More

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http://dx.doi.org/10.1007/s00402-019-03170-2DOI Listing

Advanced cadaver-based educational seminar for trauma surgery using saturated salt solution-embalmed cadavers.

Acute Med Surg 2019 Apr 20;6(2):123-130. Epub 2019 Jan 20.

Department of Anatomy Tokyo Medical University Tokyo Japan.

Aim: Senior surgeons in Japan who participated in "cadaver-based educational seminar for trauma surgery (CESTS)" subsequently stated their interest in seminars for more difficult procedures. Therefore, we held a 1-day advanced-CESTS with saturated salt solution (SSS)-embalmed cadavers and assessed its effectiveness for surgical skills training (SST).

Methods: Data were collected from three seminars carried out from September 2015 to January 2018, including a 10-point self-assessment of confidence levels (SACL) questionnaire on nine advanced surgical skills, and evaluation of seminar content before, just after, and half a year after the seminar. Read More

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http://dx.doi.org/10.1002/ams2.390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442534PMC

Screening Laboratory Testing in Asymptomatic Minor Pediatric Blunt Trauma Leads to Unnecessary Needle Sticks.

Pediatr Emerg Care 2019 Apr 9. Epub 2019 Apr 9.

Saint Louis School of Medicine, St. Louis.

Objective: Screening blood work after minor injuries is common in pediatric trauma. The risk of missed injuries versus diagnostic necessity in an asymptomatic patient remains an ongoing debate. We evaluated the clinical utility of screening blood work in carefully selected asymptomatic children after minor trauma. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001810DOI Listing

Efficiency of a pelvic circumferential compression device for continuous hemorrhage of peripheral soft tissue of the pelvis: A case report.

Trauma Case Rep 2019 Jun 22;21:100183. Epub 2019 Mar 22.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Japan.

Background: A pelvic circumferential compression device (PCCD) is a belt that is wrapped around a fractured pelvis and tightened with a closing mechanism. The SAM Sling® is one of the most common PCCDs used for trauma management. Although the use of the SAM Sling® for reduction and stabilization of unstable pelvic ring fracture has become the standard of care in most relevant trauma scenarios, it is not usually used for stopping continuous hemorrhage of the peripheral soft tissue of the pelvis without unstable pelvic ring fractures. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434492PMC
June 2019
1 Read

Acetabular fracture non-union with pelvic discontinuity treated with two-stage total hip arthroplasty after intra- and extra-articular plate fixation.

Nagoya J Med Sci 2019 Feb;81(1):113-119

Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Surgical intervention for the treatment of acetabular fracture non-union is often challenging. Here, we present a case of acetabular fracture non-union with pelvic discontinuity in a patient who underwent cemented total hip arthroplasty (THA) after intra- and extra-articular plate fixation. The case was a 70-year-old male with left T-shaped acetabular fracture non-union neglected for 5 months after the injury. Read More

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http://hdl.handle.net/2237/00029551
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http://dx.doi.org/10.18999/nagjms.81.1.113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433626PMC
February 2019
3 Reads

Spontaneous psoas haematoma secondary to antiplatelet therapy: a rare cause of atraumatic hip pain.

BMJ Case Rep 2019 Apr 8;12(4). Epub 2019 Apr 8.

Department of Orthopaedics, Royal Glamorgan Hospital, Llantrisant, UK.

A 92-year-old woman with previous total hip replacement presented with sudden onset of atraumatic hip pain and inability to weight bear. In the absence of radiographic signs of fracture, loosening or biochemical evidence of infection a CT scan of the pelvis and hips was performed, which showed psoas thickening. MRI identified two separate collections related to the psoas and greater trochanteric regions. Read More

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http://dx.doi.org/10.1136/bcr-2018-228973DOI Listing
April 2019
2 Reads

Synchronous Urethral Repair During Prosthetic Surgery: Safety of Planned and Damage Control Approaches Using Suprapubic Tube Urinary Diversion.

J Sex Med 2019 Apr 5. Epub 2019 Apr 5.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Background: Urethral injury during inflatable penile prosthesis (IPP) or artificial urinary sphincter (AUS) placement is rare, and traditionally most prosthetic surgeons abort prosthetic implantation when urethral repair is necessary.

Aim: To report our experience with synchronous urethroplasty (SU) as a planned or damage control surgery during urologic prosthetic surgery, to evaluate the safety and outcomes of the procedure.

Methods: A retrospective review of our IPP and AUS database was completed to identify patients who underwent an SU between 2007 and 2018. Read More

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http://dx.doi.org/10.1016/j.jsxm.2019.03.008DOI Listing
April 2019
1 Read

Conventional plate fixation versus minimally invasive modified pedicle screw-rod fixation for anterior pelvic ring fractures.

PLoS One 2019 8;14(4):e0215233. Epub 2019 Apr 8.

Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei City, Taiwan, Republic of China.

There are various methods of fixation for anterior pelvic ring fractures. We report our experience with modified pedicle screw-rod fixation (MPSRF) via a minimally invasive method. Fourteen patients with anterior pelvic ring fracture were treated by internal fixation (conventional plate fixation, n = 7; MPSRF, n = 7). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215233PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453462PMC

Prospective validation of a new protocol with preperitoneal pelvic packing as the mainstay for the treatment of hemodynamically unstable pelvic trauma: a 5-year experience.

Eur J Trauma Emerg Surg 2019 Apr 6. Epub 2019 Apr 6.

General Surgery I, Ospedale Papa Giovanni XXIII, Piazza OMS 1, 24127, Bergamo, Italy.

Purposes: Hemodynamically unstable pelvic trauma has been a significant challenge even in most experienced Trauma Centres. In 2011 preperitoneal pelvic packing (PPP) was introduced in our Hospital as the first manoeuvre. This study aims to review overall mortality at 24 h from arrival in the emergency department. Read More

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http://dx.doi.org/10.1007/s00068-019-01115-3DOI Listing

Intraabdominal hypertension/abdominal compartment syndrome after pelvic fractures: How they occur and what can be done?

Injury 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopedics, Physical Medicine & Rehabilitation, Denver Health Medical Center, University of Colorado, 777 Bannock St, MC 0188, Denver, CO 80204, USA. Electronic address:

Background: Limited data exist regarding intraabdominal hypertension/abdominal compartment syndrome (IAH/ACS) after pelvic fractures. We aimed to explore risk factors for IAH/ACS in pelvic fracture patients, assess the physiological effects of decompressive laparotomy (DL) on IAH/ACS, and generate an algorithm to manage IAH/ACS after pelvic fracture.

Materials And Methods: Pelvic fracture patients were included based on the presence of IAH/ACS. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.037DOI Listing
March 2019
2 Reads

Age and "general health"-beside fracture classification-affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study.

Int Orthop 2019 Apr 4. Epub 2019 Apr 4.

Department of Trauma Surgery, BG Trauma Centre Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.

Purpose: Pelvic ring fractures in the elderly gain increasing importance. Nonetheless, data on factors influencing treatment decision in relation to fracture classification, age, and the resulting treatment are still rare.

Methods: Prospectively collected data of the German Pelvic Injury Registry from patients aged over 65 years with a pelvic ring fracture were evaluated retrospectively. Read More

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http://dx.doi.org/10.1007/s00264-019-04326-wDOI Listing
April 2019
1 Read

Surgical Treatment for Posterior Dislocation of Hip Combined with Acetabular Fractures Using Preoperative Virtual Simulation and Three-Dimensional Printing Model-Assisted Precontoured Plate Fixation Techniques.

Biomed Res Int 2019 28;2019:3971571. Epub 2019 Feb 28.

Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.

Background And Purpose: Hip dislocation combined with acetabular fracture remains a challenging condition for orthopedic surgeons. In this study, we utilized a computer-assisted simulation and three-dimensional (3D) printing technology to treat patients with hip dislocation combined with acetabular fracture. We hypothesized that the 3D printing-assisted method would shorten the internal fixation time and surgical time. Read More

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http://dx.doi.org/10.1155/2019/3971571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421042PMC
February 2019
3 Reads

Treatment Discrepancy for Pelvic Fracture Patients with Urethral Injuries: A Survey of Orthopaedic and Urologic Surgeons.

J Orthop Trauma 2019 Mar 29. Epub 2019 Mar 29.

Department of Urology, University of Washington, Seattle, WA.

Objectives: In patients with traumatic pelvic fracture urethral injuries (PFUI), the interaction between urethral management and orthopaedic decision-making remains unknown. We aimed to survey orthopaedic and urologic surgeons to assess inter-disciplinary interactions in the management of PFUI.

Methods: An anonymous cross-sectional survey of members of the Orthopaedic Trauma Association (OTA) and the Society of Genitourinary Reconstructive Surgeons (GURS) was conducted between September 2017 and August 2018. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001482DOI Listing

Application of a deep learning algorithm for detection and visualization of hip fractures on plain pelvic radiographs.

Eur Radiol 2019 Apr 1. Epub 2019 Apr 1.

Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou, Chang Gung University, Taoyuan, Taiwan.

Objective: To identify the feasibility of using a deep convolutional neural network (DCNN) for the detection and localization of hip fractures on plain frontal pelvic radiographs (PXRs). Hip fracture is a leading worldwide health problem for the elderly. A missed diagnosis of hip fracture on radiography leads to a dismal prognosis. Read More

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http://dx.doi.org/10.1007/s00330-019-06167-yDOI Listing
April 2019
2 Reads

[Bilateral stress fractures of the pelvic rami in a woman with anorexia nervosa].

Ugeskr Laeger 2019 Mar;181(12)

This is a case report of a 51-year-old woman with bilateral stress fractures of the pelvic rami and a history of anorexia nervosa (AN). AN is a psychiatric condition of low weight caused by restricted food intake, impaired body image and an exaggerated fear of gaining weight in addition to compensating behaviour such as excessive physical activity. Among patients with AN, reduced bone density is common, and a higher risk of fractures is present. Read More

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March 2019
1 Read

Prediction of arterial extravasation in pelvic fracture patients with stable hemodynamics using coagulation biomarkers.

World J Emerg Surg 2019 19;14:14. Epub 2019 Mar 19.

1Department of Emergency Medicine, Gunma University Graduate School of Medicine, Gunma, Japan.

Background: Determining the presence of an active arterial hemorrhage in the acute phase is important as a treatment strategy in patients with pelvic fracture. The purpose of this study was to evaluate whether coagulation biomarkers could predict arterial extravasation, especially in pelvic fracture patients with stable hemodynamics.

Methods: We studied patients with a pelvic fracture who had a systolic blood pressure above 90 mmHg and lactate level less than 5. Read More

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http://dx.doi.org/10.1186/s13017-019-0234-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425576PMC

Blunt trauma pelvic fracture-associated genitourinary and concomitant lower gastrointestinal injury: incidence, morbidity, and mortality.

World J Urol 2019 Mar 30. Epub 2019 Mar 30.

Department of Urology and Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Drive, 2nd floor, Chapel Hill, NC, USA.

Purpose: Limited data exist on the characteristics, risk factors, and management of blunt trauma pelvic fractures causing genitourinary (GU) and lower gastrointestinal (GI) injury. We sought to determine these parameters and elucidate independent risk factors.

Methods: The National Trauma Data Bank for years 2010-2014 was queried for pelvic fractures by ICD-9-CM codes. Read More

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http://dx.doi.org/10.1007/s00345-019-02725-7DOI Listing
March 2019
4 Reads

Pelvic fractures with associated retroperitoneal hematoma: time until angioembolization and results.

Cir Esp 2019 Mar 27. Epub 2019 Mar 27.

Cirugía General y del Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, España.

Introduction: Two areas of controversy in the management of bleeding pelvic fractures are the need to perform angioembolization (AE) in patients with a retroperitoneal hematoma (RPH) but no contrast extravasation (CE) on Computerized Tomography (CT) and/or angiography, and the delay to AE. Our main objective was to assess whether there had been differences in the percentage and delay to AE between patients admitted on weekdays versus off-hours (weekends and admission after 3pm) at our hospital. Our hypothesis was that angiography and AE would be more frequent on weekdays, and the time delay would be longer during off-hours, with a higher mortality in this latter group for a similar overall severity. Read More

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http://dx.doi.org/10.1016/j.ciresp.2019.02.002DOI Listing

Modified less invasive anterior subcutaneous fixator for unstable Tile-C-pelvic ring fractures: a biomechanical study.

Biomed Eng Online 2019 Mar 29;18(1):38. Epub 2019 Mar 29.

Department of General Trauma & Reconstructive Surgery, University Hospital, LMU Munich, Munich, Germany.

Background: Operative procedures for unstable pelvic ring fractures remain controversially discussed. Minimally invasive treatment options for pelvic ring fractures have several benefits for the patient. But they can also provide disadvantages. Read More

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http://dx.doi.org/10.1186/s12938-019-0648-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441140PMC
March 2019
1 Read

Imaging of Pelvic and Femoral Fixation Hardware: Normal Findings and Hardware Failure.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e1-e19. Epub 2019 Mar 29.

Department of Orthopaedics, Banner Health and the University of Arizona-Tucson, Tucson, Arizona.

Good outcomes following treatment of pelvic ring injuries, acetabular fractures, and femur fractures rely on restoration of native pelvic or limb alignment, anatomical reduction and rigid stability of articular fractures, and early postoperative mobilization. Multiple surgical approaches, reduction aids, and orthopaedic implants are available to stabilize these fractures. Despite best practices, complications including hardware failure, nonunions, malunions, and infections occur. Read More

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http://dx.doi.org/10.1055/s-0039-1681048DOI Listing
April 2019
1 Read

Distribution of Pelvic Fractures in Racing and Non-racing Sport Horses: A Retrospective Study of 86 Cases Examined in a Referral Centre.

Vet Comp Orthop Traumatol 2019 Mar 28. Epub 2019 Mar 28.

CIRALE, Unité 957, BPLC, Ecole Nationale Vétérinaire d'Alfort, 14430 Goustranville, France.

Objective:  The aim of this study was to analyse the pelvic fracture distribution and location in a referral centre caseload.

Materials And Methods:  Medical records of 6,717 horses examined in a referral centre over a 7-year period were reviewed to identify all horses diagnosed with a pelvic fracture. Eighty-six horses were identified and divided into three disciplines, namely Thoroughbred racehorses (TBR), Standardbred trotter racehorses (STR) and non-racing sport horses (NRSH). Read More

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http://dx.doi.org/10.1055/s-0039-1683403DOI Listing
March 2019
1 Read

Atlas-based automatic planning and 3D-2D fluoroscopic guidance in pelvic trauma surgery.

Phys Med Biol 2019 Mar 28. Epub 2019 Mar 28.

Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, UNITED STATES.

Purpose: Percutaneous screw fixation in pelvic trauma surgery is a challenging procedure that often requires long fluoroscopic exposure times and trial-and-error attempts. We report a method to automatically plan surgical trajectories using preoperative CT and assist device placement by augmenting the fluoroscopic scene with planned trajectories. Method. Read More

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http://dx.doi.org/10.1088/1361-6560/ab1456DOI Listing

Correlation of radiographic variables to guide safe implant positioning during acetabular surgery and hip replacement: a retrospective observational study.

Patient Saf Surg 2019 12;13:13. Epub 2019 Mar 12.

1Department for Trauma, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.

Background: Knowledge of periacetabular anatomy is crucial for prosthetic cup placement in total hip arthroplasty and for screw placement in anterior fixation with acetabular fractures. It is known that degree of hip dysplasia correlates with medial bone stock and that medial bone stock shows a weak correlation to Lequesne's acetabular index (AI). Aim of this study was to investigate a possible correlation between AI and the newly proposed medial safe zone. Read More

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http://dx.doi.org/10.1186/s13037-019-0192-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419400PMC
March 2019
1 Read

Bipolar Hemiarthroplasty of Hip in an Unstable Angina Patient: A Case Report.

J Orthop Case Rep 2018 Nov-Dec;8(6):42-45

Department of Orthopaedic, DeenanathMangeshkar Hospital, 9+13/2, Near Mhatre Bridge, Pune -411004, Maharashtra, India.

Introduction: Fracture neck of femur is a leading cause of hospital admission in elderly population. Studies have shown up to 25% mortality following hip fracture within 1year of surgery [1]. We report a case of fracture neck of femur in a high-risk patient with end-stage renal disease who was operated with bipolar hemiarthroplasty. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424317PMC

Review of the Problems of Diagnosis of Endopelvic Haemorrhage, Its Intensity, Volume, and Duration, and Treatment Methods of Circulatory Injuries and Surgical Hemostasis after Pelvic Fractures.

Emerg Med Int 2019 19;2019:2514146. Epub 2019 Feb 19.

Amur State Medical Academy, 95 Gorky Street, Blagoveshchensk, Russia.

The development of pelvic surgeries is now making new evolutionary jump for us to witness; this would be unimaginable without significant achievements in anesthesiology and new technologies of blood replacement. This overview presents analysis of 41 domestic and 20 foreign references sources that are devoted to the problematics of treating patients with fluid injuries of pelvis accompanied by retroperitoneal haemorrhage. The following considers details on determination of endopelvic haemorrhage nature, its intensity, volume, and duration, as well as the treatment methods for circulatory injuries and surgical haemostasis. Read More

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http://dx.doi.org/10.1155/2019/2514146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399524PMC
February 2019

It was not a hip fracture - you were lucky this time - or perhaps not! A prospective study of clinical outcomes in patients with low-energy pelvic fractures and hip contusions.

Injury 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopaedics, Lund University, Malmö, Sweden; Department of Research, Development, Education and Innovations, Sahlgrenska University Hospital, Gothenburg, Sweden.

Introduction: Prehospital and hospital emergency care guidelines have been developed for patients with suspected hip fracture. Initial radiography can identify a number of patients with other injuries, generally pelvic fractures and hip contusions. Little is known about the prognosis for these patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193012
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http://dx.doi.org/10.1016/j.injury.2019.03.021DOI Listing
March 2019
3 Reads

Delayed-Union of Acetabular Stress Fracture in Female Gymnast: Use of Teriparatide to Augment Healing.

Clin J Sport Med 2019 Mar 22. Epub 2019 Mar 22.

Orthopedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Pelvic stress fractures are rare and present unique challenges for medical personnel. Delayed healing can lead to increased physical, psychological, and social stress for athletes. Recent literature suggests effective use of a synthetic derivative of parathyroid hormone, teriparatide, to augment healing of delayed-union stress fractures. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000739DOI Listing
March 2019
2 Reads

When and How to Operate Fragility Fractures of the Pelvis?

Indian J Orthop 2019 Jan-Feb;53(1):128-137

Department of Orthopaedics and Traumatology, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.

Fragility fractures of the pelvis (FFP) are an entity with an increasing frequency. The characteristics of these fractures are different from pelvic ring fractures in younger adults. There is a low energy instead of a high energy trauma mechanism. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_631_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394185PMC

Uncertain progress in Swiss perioperative mortality 1998-2014 for 22 operation groups.

Swiss Med Wkly 2019 03 24;149:w20034. Epub 2019 Mar 24.

Institute of Social and Preventive Medicine (ISPM), University of Bern, Switzerland.

Background: The perioperative mortality rate (POMR) is used as a quality indicator to monitor health care system performance at regional and national levels. The Swiss Federal Office of Public Health publishes national in-hospital mortality rates for several indicator conditions and indicator operation types (IORs). We investigated long-term time trends of POMRs from 1998-2014. Read More

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http://dx.doi.org/10.4414/smw.2019.20034DOI Listing
March 2019
2 Reads

A Meta-Analysis of Outcomes in Total Hip Arthroplasty Recipients Following Pelvic Irradiation.

J Arthroplasty 2019 Feb 27. Epub 2019 Feb 27.

Department of Orthopaedic Surgery, Stony Brook University Hospital, Stony Brook, NY.

Background: Alongside advances in total hip arthroplasty (THA), innovations in the treatment of cancer have led to an increasing number of patients living with this devastating disease. Radiation therapy has well-documented clinical effects on bone health, leading to pelvic insufficiency fractures and osteonecrosis of the femoral head. The purpose of this meta-analysis is to report on THA outcomes in this patient population in an effort to determine if a need to change management exists during surgical planning. Read More

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http://dx.doi.org/10.1016/j.arth.2019.02.047DOI Listing
February 2019
1 Read

Characteristics of Iraqi Patients Treated During Operation Inherent Resolve by a Forward Surgical Team.

Mil Med 2019 Mar;184(Supplement_1):301-305

772 FST Commander, 6390 Desert Storm Ave, Fort Campbell, KY.

Introduction: The combat experience during the re-entry stages of Operation Inherent Resolve was distinct from other recent operations, but there is no published literature regarding these "initial entry operations" experiences among forward surgical teams (FSTs) deployed to Role 2 facilities A descriptive analysis of patients treated by FSTs may provide valuable information for Role 2 surgical teams preparing to deploy in support of initial entry operations. The purpose of this analysis was to describe injury mechanism, wounding patterns and interventions performed by a small FST in the re-entry phase in Iraq.

Materials And Methods: From July 17, 2015 to January 31, 2016, a split surgical team with two surgeons and an ER physician documented care for all patients treated by their FST located in Iraq. Read More

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http://dx.doi.org/10.1093/milmed/usy392DOI Listing
March 2019
1 Read

Hybrid stabilization of unstable osteoporotic thoracolumbar vertebral body fractures: clinical and radiological outcome after a mean of 4 years.

Eur Spine J 2019 Mar 21. Epub 2019 Mar 21.

Department of Orthopaedics, Trauma Surgery and Reconstructive Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Purpose: The aim of this study was to evaluate midterm results after hybrid stabilization of unstable osteoporotic fractures of the thoracolumbar junction.

Methods: This retrospective study was performed at a level I trauma center. A total of 113 patients aged 61 and older were stabilized using hybrid stabilization consisting of short-segmental posterior instrumentation and augmentation of the fractured vertebral body after suffering an unstable osteoporotic vertebral body fracture at the thoracolumbar spine. Read More

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http://dx.doi.org/10.1007/s00586-019-05957-8DOI Listing

Incidental identification of vertebral compression fractures in patients over 60 years old using computed tomography scans showing the entire thoraco-lumbar spine.

Arch Orthop Trauma Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Santiago, Chile.

Introduction: Vertebral compression fractures (VCF) are frequently asymptomatic; incidental diagnosis is a valuable opportunity to identify low bone mass and to start treatment. We aimed to determine the proportion of patients over 60 years old evaluated with chest plus abdominal and pelvic computed tomography (CT) scans, allowing visualization of the entire thoraco-lumbar spine, who incidentally present VCF.

Materials And Methods: We evaluated 300 patients over 60 years old who under went chest plus abdominal and pelvic CT scans. Read More

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http://dx.doi.org/10.1007/s00402-019-03177-9DOI Listing
March 2019
3 Reads

Trochanteric Fixation Nail® with Helical Blade Compared with Femoral Neck Screw for Operative Treatment of Intertrochanteric Femoral Fractures.

Hip Pelvis 2019 Mar 5;31(1):48-56. Epub 2019 Mar 5.

Department of Trauma Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands.

Purpose: This study was performed to compare outcomes of the Trochanteric Fixation Nail (TFN®) with a helical blade versus TFN® with a femoral neck screw for the treatment of intertrochanteric femoral fractures.

Materials And Methods: A single center, retrospective cohort study. Patients (>18 years of age) with an intertrochanteric femoral fracture, who were operated on between January 1, 2012 and December 31, 2016 were included. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.48DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414409PMC
March 2019
1 Read

The Majority of Corona Mortis Are Small Calibre Venous Blood Vessels: A Cadaveric Study of North Indians.

Hip Pelvis 2019 Mar 5;31(1):40-47. Epub 2019 Mar 5.

Department of Anatomy, Indira Gandhi Medical College, Shimla, India.

Purpose: Corona mortis is an abnormal arterial or venous anastomosis between the external iliac and the obturator system of vessels and may cause significant hemorrhage during pelvi-acetabular fracture surgeries, hernia repair and laparoscopic gynecological procedures. Previous studies have estimated a prevalence of corona mortis between 34% and 70%. This cadaveric study was conducted to estimate the prevalence of corona mortis in the North Indian population. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414411PMC
March 2019
3 Reads

The Frequency of Occult Intertrochanteric Fractures among Individuals with Isolated Greater Trochanteric Fractures.

Hip Pelvis 2019 Mar 5;31(1):23-32. Epub 2019 Mar 5.

Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.

Purpose: Isolated greater trochanteric (GT) fractures are often identified using plain radiography of patients with post-traumatic hip pain. In many cases, the fracture extends to form an occult intertrochanteric fracture. We conducted a study to determine the frequency of occult intertrochanteric fractures in patients diagnosed with isolated GT fractures using plain radiographs. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414406PMC
March 2019
2 Reads

Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes?

Hip Pelvis 2019 Mar 5;31(1):18-22. Epub 2019 Mar 5.

Department of Orthopaedic and Trauma Surgery, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland, UK.

Purpose: Occult hip fractures in the elderly can be missed on standard radiographs and are a known cause of morbidity. These are generally diagnosed on either magnetic resonance imaging (MRI) or computed tomography scan, depending upon local hospital policy. While there is an abundance of literature on hip fractures in general, little is known about the clinical outcome of patients with occult hip fractures. Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414407PMC
March 2019
2 Reads

Favorable Functional Recovery and Stem Stability after Hip Arthroplasty with a Short Metaphyseal Stem in Elderly Patients with Osteoporotic Femoral Neck Fractures.

Hip Pelvis 2019 Mar 5;31(1):11-17. Epub 2019 Mar 5.

Department of Orthopedic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Purpose: Short stems have recently become widely used; however, concerns about the initial secure fixation of a short stem in osteoporotic bone remain. The aim of this study was to evaluate the short-term clinical and radiological results of using a short cementless metaphyseal stabilizing tapered stem for senile osteoporotic femoral neck fractures.

Materials And Methods: Thirty-eight arthroplasties (31 bipolar hemiarthroplasties and 7 total hip arthroplasties) were performed for osteoporotic femoral neck fractures in patients older than 65 years (10 males and 28 females). Read More

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http://dx.doi.org/10.5371/hp.2019.31.1.11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414405PMC
March 2019
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The Association of Iliac and Sacral Insufficiency Fractures and Implications for Treatment: The Role of Bone Scans in Three Different Cases.

Cureus 2019 Jan 10;11(1):e3861. Epub 2019 Jan 10.

Neurological Surgery, University of Miami Hospital, Miami, USA.

Iliac wing fractures are under-diagnosed fractures often associated with sacral insufficiency fractures in osteoporotic patients. They are rarely seen alone. Insufficiency fractures of the iliac bone can often be missed on computerized tomography (CT) and magnetic resonance imaging (MRI) yet identified on radioisotope bone scans. Read More

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http://dx.doi.org/10.7759/cureus.3861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414187PMC
January 2019
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Biomechanical Comparison of Three Internal Fixation Techniques for Stabilizing Posterior Pelvic Ring Disruption: A 3D Finite Element Analysis.

Orthop Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of Orthopaedics, Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: To compare the biomechanical stability and compatibility of two iliosacral screws (ISS), a tension band plate (TBP), and a minimally invasive adjustable plate (MIAP) for treating Tile C pelvic fractures.

Materials And Methods: Three groups of finite element models of the intact pelvis, including the main ligament and the proximal one-third of both femurs, were developed to simulate vertical sacral fractures and treated with the three abovementioned internal fixation techniques. A 500 N vertical load, a 500 N vertical load plus a 10 Nm moment of forward sagittal direction, and 500 N vertical load plus a 10 Nm moment of right lateral direction were applied to the sacrum to simulate standing status, bending status, and flexion status, respectively. Read More

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http://dx.doi.org/10.1111/os.12431DOI Listing
March 2019
3 Reads

Management of male pelvic fracture urethral injuries: Review and current topics.

Authors:
Akio Horiguchi

Int J Urol 2019 Mar 20. Epub 2019 Mar 20.

Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan.

Pelvic fractures from high-energy blunt force trauma can cause injury to the posterior urethra, known as pelvic fracture urethral injury, which is most commonly associated with unstable pelvic fractures. Pelvic fracture urethral injury should be suspected if a patient with pelvic trauma has blood at the meatus and/or difficulty voiding, and retrograde urethrography should be carried out if the patient is stable. Once urethral injury is confirmed, urinary drainage should be established promptly by placement of a suprapubic tube or primary realignment of the urethra over a urethral catheter. Read More

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http://dx.doi.org/10.1111/iju.13947DOI Listing
March 2019
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Plate fixation in periprosthetic femur fractures Vancouver type B1: preliminary report of macroscopic evaluation of the cement mantle and short literature review.

Acta Biomed 2019 Jan 24;90(1):31-36. Epub 2019 Jan 24.

Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy.

he goal of our preliminary report is to investigate hip stem stability and intra-operative cement mantle integrity after screw insertion in plate fixation of periprosthetic Vancouver B1 femur fractures. From a cohort of 50 patients with a periprosthetic femur fracture treated in our department from February 2012 until February 2017, we included in our study patients with a periprostethic Vancouver B1 femoral fracture in cemented hip arthroplasty and hemiarthroplasty, operated with ORIF using a 4.5/5. Read More

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http://dx.doi.org/10.23750/abm.v90i1.6544DOI Listing
January 2019
5 Reads

Multivariate analysis of risk factors for re-dislocation after revision for dislocation after total hip arthroplasty.

Hip Int 2019 Mar 19:1120700019831628. Epub 2019 Mar 19.

3 Department of Orthopaedics, University of British Columbia, Vancouver, Canada.

Background:: The treatment for recurrent dislocation of a total hip arthroplasty is surgical using varied techniques and technologies to reduce the chances of re-dislocation and re-revision. The goal of this study is to compare operative techniques to reduce re-dislocation and re-revision in revision hip arthroplasty due to recurrent dislocations.

Methods:: A retrospective study of revision hip arthroplasties done due to recurrent dislocation prior to 01 January 2014. Read More

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http://dx.doi.org/10.1177/1120700019831628DOI Listing
March 2019
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Surgical applications of three-dimensional printing in the pelvis and acetabulum: from models and tools to implants.

Unfallchirurg 2019 Apr;122(4):278-285

Faculty of Mechanical Engineering, University of Maribor, Maribor, Slovenia.

There are numerous orthopaedic applications of three-dimensional (3D) printing for the pelvis and acetabulum. The authors reviewed recently published articles and summarized their experience. 3D printed anatomical models are particularly useful in pelvic and acetabular fracture surgery for planning, implant templating and for anatomical assessment of pathologies such as CAM-type femoroacetabular impingement and rare deformities. Read More

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http://dx.doi.org/10.1007/s00113-019-0626-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447520PMC
April 2019
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[Finite element analysis of anterior ring injuries in unstable pelvic fractures treated by different methods].

Zhongguo Gu Shang 2019 Feb;32(2):156-160

Department of Orthopaedics, the Third Affiliated Hospital of Wenzhou Medical University, Wenzhou 325200, Zhejiang, China;

Objective: To compare the biomechanical stability of different fixation methods for anterior ring injury of unstable pelvic fractures, and to provide reference for clinical treatment.

Methods: An unstable pelvic fracture model (Tile C) with one side of the sacroiliac joint dislocation and the pubic rami fracture was constructed via three-dimensional finite element analysis. Five different fixation methods were used in the front, and the rear was fixed with sacroiliac screws. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.02.012DOI Listing
February 2019
1 Read