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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
763
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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Related Experiment Video

Updated: Mar 7, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Acetabular and pelvic fractures in multiple trauma.

E Euler1, D Nast-Kolb1, L Schweiberer1

  • 1Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität, München, Germany.

Der Orthopade
|March 2, 2017
PubMed
Summary

Complex pelvic fractures, often life-threatening, require integrated treatment. Stabilization methods like external fixators or ORIF are crucial for managing bleeding and facilitating intensive care unit management.

Keywords:
Acetabulum fractureKey words Multiple traumaPelvic fracture

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Related Experiment Videos

Last Updated: Mar 7, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Pelvic fractures occur in 50% of multiple trauma patients.
  • Complex pelvic trauma, involving vessel, neurological, or visceral damage, is life-threatening.
  • Massive bleeding from presacral venous plexus laceration is a common complication.

Purpose of the Study:

  • To outline management strategies for complex pelvic fractures.
  • To emphasize the importance of integrated treatment concepts.
  • To discuss stabilization techniques and their impact on patient care.

Main Methods:

  • Review of complex pelvic fracture cases.
  • Discussion of stabilization techniques including external fixators and ORIF (Open Reduction Internal Fixation).
  • Consideration of associated injuries and patient management in the ICU.

Main Results:

  • Venous bleeding often self-tamponades after stabilization with an external fixator.
  • Immediate laparotomy is required in about half of cases due to circulatory instability or other severe injuries.
  • Internal pelvic stabilization aids ICU management, particularly with prone-supine positioning.

Conclusions:

  • Treatment of complex pelvic fractures demands a differentiated, situation-adapted approach.
  • Integrated management considering overall patient condition and available resources is essential.
  • Avoiding traction for displaced acetabular fractures in favor of joint-bridging external fixators is recommended.