We prospectively studied the outcome of a protocol of prophylaxis for deep vein thrombosis (DVT) in 103 consecutive patients undergoing surgical stabilisation of pelvic and acetabular fractures. Low-molecular-weight heparin (LMWH) was administered within 24 hours of injury or on achieving haemodynamic stability. Patients were screened for proximal DVT by duplex ultrasonography performed ten to ...

111 The treatment of acetabular fractures constitutes in many cases a challenge for the orthopedic surgeon. Classifying the fracture, determining the degree of displacement and deciding whether to operate or not all require specific experience and training1-3. Since the acetabulum is a weightbearing joint surface it requires an anatomical reduction, but the technical difficulties associated wit...

A wide spectrum of bony injury around the hip and pelvis may occur in athletes. These injuries vary from subtle avulsions that may require appropriate diagnosis and conservative management only to joint threatening injuries requiring emergent orthopaedic treatment. This review attempts to provide a general guide to these injuries in respect to athletes focusing on published evidence. For the pu...

Lumbosacral plexopathy is a rare clinical entity that results in potentially severe neurological deficit. The clinical presentation of lumbosacral plexopathy includes motor and sensory deficits. However to the best of our knowledge, hip instability secondary to lumbosacral plexopathy has not been reported in current literature. We report two cases of pelvic injury in which recurrent hip subluxa...

To assess the stability of the hip after acetabular fracture, dynamic fluoroscopic stress views were taken of 41 acetabular fractures that met the criteria for non-operative management. These included roof arcs of 45°, a subchondral CT arc of 10 mm, displacement of less than 50% of the posterior wall, and congruence on the AP and Judet views of the hip. There were three unstable hips which were...

We created virtual three-dimensional reconstruction models from computed tomography scans obtained from patients with acetabular fractures. Virtual cylindrical implants were placed intraosseously in the anterior column, the posterior column and across the dome of the acetabulum. The maximum diameter which was entirely contained within the bone was determined for each position of the screw. In t...

Objective. To evaluate morbidity and functional outcome of surgically treated pelvic fractures acetabular in our institution. Methods. A chart review was done to identify subjects with injuries open reduction internal fixation from 2014–2019. We collected data for blood loss, time surgery, post-surgical intervention, the Majeed score score. Results. included 11 patients (8 males, 3 females; m...

Osteomyelitis of pubic symphysis is infectious inflammatory condition of the symphysis pubis and rare complication of surgery around inguinal and groin region. It should be kept in mind in the differential diagnosis of lower pelvic pain and should be sought in cases of pelvic insufficiency fractures. Herein, we present a case of a 55-year-old man with osteomyelitis of the symphysis pubis follow...

BACKGROUND Acetabular fractures are quite challenging injuries for the orthopedic surgeon because of their low incidence and their deep and complex anatomy. The objective of this study was to evaluate surgeon-independent parameters that might influence radiographic outcome and early complication rates of high-energy acetabular fractures treated by open reduction and internal fixation via the Ko...

PURPOSE We hypothesized that the central dislocation of the femoral head does generally not occur in transverse acetabular fractures, although it does usually occur in both column fractures. MATERIALS AND METHODS Fifty-two transverse and both column acetabular fracture cases were evaluated retrospectively. The distances between (a) the sciatic notch on the fracture side and the vertical axis ...