Der Orthopäde
-
The choice of surgical approach to fractures of the acetabulum is determined by the type of fracture. The most popular approaches are the Kocher-Langenbeck, the ilio-inguinal and the extended iliofemoral. The techniques of reduction and internal fixation using special instruments and implants are demonstrated.
-
High energy fractures of the pelvis are often associated with genitourinary, neurological, vascular, intestinal, and other skeletal injuries. The pelvic fracture therefore reflects only some of the destructive energy sustained by the patient and is a marker for the associated soft tissue injuries. In these complex pelvic injuries assessment, stabilization, and definitive treatment are complicated. ⋯ From 1972 to 1990 the clinical course and outcome of 132 patients with complex pelvic injuries were reviewed. The overall mortality was 34.8%. As the changes in the treatment protocol were implemented mortality decreased from 66.7% (1972-1978) to 18.7% (1985-1990).