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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Combined acetabulum and pelvic ring injuries.

Jason J Halvorson, Jeremy Lamothe, C Ryan Martin

    The Journal of the American Academy of Orthopaedic Surgeons
    |May 3, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Combined acetabular and pelvic ring fractures are more common than previously thought, often resulting from high-energy trauma. Treatment demands a multidisciplinary approach, prioritizing resuscitation and then integrating individual fracture management strategies.

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    Area of Science:

    • Orthopedic Surgery
    • Trauma Surgery
    • Emergency Medicine

    Background:

    • Combined acetabular and pelvic ring fractures are more frequent than previously recognized, occurring in up to 15.7% of cases.
    • These injuries typically result from high-energy mechanisms, leading to greater severity compared to isolated pelvic or acetabular injuries.

    Purpose of the Study:

    • To review the incidence, characteristics, and treatment considerations for combined acetabular and pelvic ring fractures.
    • To highlight the need for a multidisciplinary approach in managing these complex injuries.

    Main Methods:

    • Review of recent series including combined acetabular and pelvic ring injuries.
    • Analysis of injury patterns, mechanisms, severity, and treatment priorities.

    Main Results:

    • Lateral compression and anteroposterior compression pelvic ring injuries are equally common.
    • Transverse and both-column acetabular fractures are the most frequent acetabular patterns.
    • Combined injuries are associated with higher injury severity scores, increased transfusion needs, lower systolic blood pressure, and mortality rates of 1.5% to 13%.

    Conclusions:

    • Treatment necessitates a multidisciplinary approach, starting with Advanced Trauma Life Support protocols.
    • Individual assessment and integrated treatment strategies are crucial for managing combined acetabular and pelvic ring fractures.
    • Outcome data for combined injuries are currently lacking.