Trauma to the adult pelvis and hip:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
| Schriftenreihe: | The orthopedic clinics of North America
28,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX S., S. 299 - 482 zahlr. Ill. |
Internformat
MARC
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| 245 | 1 | 0 | |a Trauma to the adult pelvis and hip |c Robert Taffet guest ed. |
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Datensatz im Suchindex
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| adam_text | TRAUMA TO THE ADULT PELVIS AND HIP
CONTENTS
Preface xi
Robert Taffet
Evaluation of Pelvic Fractures: Clinical and Radiologic 299
Mark MacLeod and James N. Powell
This article gives the orthopedic surgeon a framework to use during the
initial evaluation of a patient with a pelvic fracture in the emergency room.
The essential elements of the assessment of instability, both clinically and
radiologically, are given in this article. Examples of the major patterns of
instability are provided.
Assessment and Management of Pelvic Fracture in the
Hemodynamically Unstable Patient 321
Philip R. Wolinsky
Hypotensive patients with pelvic ring injuries present a diagnostic and
therapeutic challenge. This article reviews pelvic anatomy, the classification
of pelvic injuries, and how to rapidly identify patients unstable pelvic
injuries. Current recommendations for the evaluation and treatment of these
patients are reviewed.
External Fixation for Pelvic Ring Disruptions 331
Anthony P. Yang and William M. Iannacone
The application of external fixation for acute treatment of unstable pelvic
fractures can be a lifesaving procedure; however, it must be coordinated
with other efforts of the trauma team. The patient with a pelvic fracture
must be adequately resuscitated and carefully evaluated. This evaluation
includes a careful physical examination and radiographic studies, which
include plain films and computerized tomography. A proper evaluation
enables classification of the pelvic injury and appropriate selection of pa¬
tients that require acute pelvic external fixation. In this article, both open
and percutaneous techniques for pin placement and fixator frame configura¬
tions are discussed.
THE ORTHOPEDIC CLINICS OF NORTH AMERICA
VOLUME 28 • NUMBER 3 • JULY 1997 Vli
Open Pelvic Fractures: A Multicenter Retrospective Analysis 345
Alan L. Jones, James N. Powell, James F. Kellam, Robert G. McCormack,
William Dust, and Patrick Wimmer
A marked discrepancy exists in the reported mortality rates in patients with
open pelvic fractures, ranging from 4.8% to 50%. A retrospective review of
patients with open pelvic fractures was performed at three centers. Thirty
nine patients with open pelvic fractures were identified; the average age
was 32. The average injury severity score was 29 (13 75). There were 10
(26%) deaths. Factors that correlated with mortality and morbidity were
instability of the pelvic fracture and the presence of a rectal injury. Delay in
performing diverting colostomy correlated with a poor outcome. Previously
described methods of treatment are still valid; however, there is a need for
re emphasis of early diverting colostomy in the patient with a rectal or
perineal injury. A classification system for open pelvic fractures is proposed
in this article.
Biomechanics of Pelvic Fixation 351
Peter T. Simonian and M. L. Chip Routt, Jr
This article reviews a series of biomechanical studies performed in the
author s laboratory, evaluating the instabilities produced by the more com¬
mon and problematic pelvic ring fracture patterns and the increasingly
popular and newly developed modes of internal fixation. Topics that are
discussed include the following: anteroposterior compression injuries and
the disrupted sacroiliac joint; sacral fractures; anteroposterior compression
injuries and symphyseal fixation; new symphyseal plate designs; unstable
pubic rami fractures; unstable fractures of the iliac wing; and resuscitation
fixator biomechanics.
Stabilization of Pelvic Ring Disruptions 369
M. L. Chip Routt, Jr, Peter T. Simonian, and Marc F. Swiontkowski
Pelvic ring disruptions are challenging management problems for the or¬
thopedic surgeon. Early hemorrhage, permanent nerve injury, and late
pain caused by residual pelvic deformity are some of the many compli¬
cating factors. A variety of treatment alternatives are available to stabilize
the disrupted pelvic ring. Each technique has inherent advantages and
problems.
Management of Pelvic Fractures with Concomitant Urologic Injuries 389
Robert Taffet
Controversy exists regarding the management of pelvic fractures with con¬
comitant injuries to the lower urologic tract. This can be seen in both the
urologic and orthopedic literature as it pertains to the ideal form of treatment
for either problem and the timing of surgical intervention, if it is needed.
This article reviews the anatomy, mechanism of injury, diagnostic approach,
and treatment.
Practical Management of Venous Thromboembolism Following
Pelvic Fractures 397
Kenneth D. Montgomery, William H. Geerts, Hollis G. Potter,
and David L. Helfet
The management of thromboembolic complications remains one of the most
controversial issues in the care of patients with pelvic and acetabular fractures.
Recent studies have indicated that the incidence of proximal deep vein throm¬
bosis is much higher than was previously believed. These patients should be
managed with a formal institutional protocol that includes universal prophy¬
laxis, supplemented in some cases by screening for deep vein thrombosis.
VJJJ CONTENTS
Acetabular Fractures 405
David C. Perry and William DeLong
There are many questions that remain to be answered regarding the evalua¬
tion, classification, and treatment of acetabulum fractures. Without a uni¬
form classification and method of evaluation, a review of the literature can
be misleading. Acetabular fractures represent an injury to the articular
surface of a major weight bearing joint and should be treated in accordance
with the same criteria used for other intra articular fractures.
Surgical Approaches to the Acetabulum 419
Matthew L. Jimenez and Mark S. Vrahas
This article presents a concise outline of the indications, surgical techniques,
and approaches to the acetabulum: Kocher Langenbeck approach, ilioingui
nal approach, iliofemoral approach, combined approaches, extended ilio
femoral approach, and the triradiate approach. No one surgical appproach
is ideal for all fractures of the acetabulum. The type of approach used is
determined by the fracture pattern and condition of the soft tissues in the
area under consideration.
Total Hip Replacement After Acetabular Fracture 435
Matthew L. Jimenez, Marvin Tile, and Richard S. Schenk
The controversies surrounding total hip arthroplasty after acetabular frac¬
ture are presented in this article. Hip arthroplasty for acute treatment of
acetabular fractures is rarely indicated. In general, total hip arthroplasty
should be reserved for the late salvage of hips in which symptomatic, post
traumatic arthritis has developed after acetabular fracture. Preoperative,
intraoperative, and postoperative management are discussed. Modern surgi¬
cal techniques may improve the long term survival of total hip arthroplasty
after acetabular fracture, particularly the acetabular component
Femoral Neck and Ipsilateral Neck and Shaft Fractures in the
Young Adult 447
Kevin D. Plancher and Jon D. Donshik
Femoral neck and ipsilateral neck and shaft fractures in the young adult
represent a significant source of morbidity and mortality. This article reviews
the anatomy, pathophysiology, radiographic evaluation, timing of surgery,
and complications in an attempt to increase recognition of these injuries
and provide better patient care.
Management of Osteonecrosis of the Femoral Head 461
Kevin D. Plancher and Afshin Razi
Osteonecrosis of the femoral head continues to pose a therapeutic challenge
to orthopedic surgeons. This pathologic process results from the death of
living components of bone from mechanical and biologic factors. Diagnosis,
clinical symptoms, and classification systems are discussed. Several treat¬
ment regimens and their controversies are explored in this article.
Index 479
Subscription Information Inside back cover
CONTENTS ix
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| physical | IX S., S. 299 - 482 zahlr. Ill. |
| publishDate | 1997 |
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| series | The orthopedic clinics of North America |
| series2 | The orthopedic clinics of North America |
| spelling | Trauma to the adult pelvis and hip Robert Taffet guest ed. Philadelphia [u.a.] Saunders 1997 IX S., S. 299 - 482 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier The orthopedic clinics of North America 28,3 Beckenringlockerung (DE-588)4263669-3 gnd rswk-swf Beckenbruch (DE-588)4192216-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Beckenbruch (DE-588)4192216-5 s DE-604 Beckenringlockerung (DE-588)4263669-3 s Taffet, Robert Sonstige oth The orthopedic clinics of North America 28,3 (DE-604)BV000001089 28,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007723930&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Trauma to the adult pelvis and hip The orthopedic clinics of North America Beckenringlockerung (DE-588)4263669-3 gnd Beckenbruch (DE-588)4192216-5 gnd |
| subject_GND | (DE-588)4263669-3 (DE-588)4192216-5 (DE-588)4143413-4 |
| title | Trauma to the adult pelvis and hip |
| title_auth | Trauma to the adult pelvis and hip |
| title_exact_search | Trauma to the adult pelvis and hip |
| title_full | Trauma to the adult pelvis and hip Robert Taffet guest ed. |
| title_fullStr | Trauma to the adult pelvis and hip Robert Taffet guest ed. |
| title_full_unstemmed | Trauma to the adult pelvis and hip Robert Taffet guest ed. |
| title_short | Trauma to the adult pelvis and hip |
| title_sort | trauma to the adult pelvis and hip |
| topic | Beckenringlockerung (DE-588)4263669-3 gnd Beckenbruch (DE-588)4192216-5 gnd |
| topic_facet | Beckenringlockerung Beckenbruch Aufsatzsammlung |
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