ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

This article fully defines the Letournel classification of acetabular fractures. The five fracture types are differentiated, and the combination of these fractures is explained. The diagnosis of each fracture type is illustrated by both the three Judet-Letournel views on plain radiographs and by CT scan. Three-dimensional CT scans are most useful with acetabular fractures; however, because of the limited availability of three-dimensional scans, the ability to make an absolute diagnosis using the three views and regular CT scan is stressed. The importance of being able to recreate the fracture pattern on a bone model prior to surgical reconstruction is also emphasized

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Successful treatment of displaced acetabular fractures combines precise diagnosis of injury patterns, assessment of local and remote trauma, and thorough knowledge of surgical alternatives. This article examines the interdependence of these factors and outlines the surgical technique for the Kocher-Langenbeck ilioinguinal and extended iliofemoral approaches

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

For predictable reconstruction of an acetabular fracture, an exacting protocol is needed. Rigorous characterization of the injury pattern permits a subsequent selection of the optimal surgical approach, anticipated techniques, sequence for reduction, and mode of fixation. Upon completion of the surgery, an exacting postoperative regimen is initiated to include various motion and resistance exercises and gait training. A variety of potential intraoperative and postoperative problems and complications is summarized along with recommendations for management of an established problem

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Major pelvic disruptions continue to present both a diagnostic and therapeutic challenge. The anatomy and biomechanical properties of both the soft tissue and bony elements of the pelvis must be understood prior to the formulation of a treatment plan. Diagnostic studies such as plain radiography and CT scan provide valuable static views of the fractured pelvis. In selected cases, a dynamic or stress view of the fractured pelvis may be necessary to determine stability. A technique for such a dynamic test is presented

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The authors describe the application and use of an emergency frame for pelvic fracture stabilization. This “resuscitation frame” can be placed rapidly, even in the emergency department setting, and provides the patient with an effective means of tamponade. Because carbon fiber rods are used, radiograph will show the reduction. Later, definitive fixation of the pelvis may be performed with the frame in place, or if a stable fracture is present, the frame may be used to treat the fracture definitively

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

In this article we report on a new surgical approach to the posterior pelvis. We have termed this approach thesea-gull approach.It is based on the creation of three myocutaneous flaps. We have found this incision to result in superior exposure of the posterior pelvis. It has been successfully used in eight cases to date

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The various options and surgical techniques for open reduction and internal fixation of unstable pelvic disruptions are described in detail. Also addressed are the indications, technical pitfalls, results, and complications associated with internal fixation of the traumatized pelvis

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1990

数据来源: OVID