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Section 1 Principles of the treatment of pelvic ring injuries |
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1 | (98) |
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1.1 Anatomy of the pelvic ring |
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3 | (14) |
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3 | (1) |
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3 | (5) |
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8 | (8) |
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16 | (1) |
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1.2 Biomechanics and methods of internal fixation |
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17 | (22) |
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17 | (1) |
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17 | (2) |
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3 Concept of pelvic stability |
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19 | (1) |
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20 | (2) |
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5 Biomechanics of pelvic fixation |
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22 | (13) |
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35 | (1) |
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36 | (3) |
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1.3 Pathoanatomy, mechanisms of injury, and classification |
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39 | (22) |
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39 | (1) |
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39 | (2) |
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41 | (6) |
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47 | (5) |
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5 Comprehensive classification |
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52 | (1) |
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53 | (1) |
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7 Type 61-B: partially stable |
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54 | (1) |
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8 Type 61-C completely unstable (Young-Burgess APC III, VS) |
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55 | (1) |
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9 Pelvic ring disruption associated with acetabular fracture |
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56 | (1) |
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57 | (3) |
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60 | (1) |
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1.4 General assessment and management of the polytrauma patient |
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61 | (22) |
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61 | (1) |
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62 | (7) |
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3 Principles of damage control |
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69 | (2) |
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4 Relationship of pelvic fractures to injuries in other systems |
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71 | (1) |
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5 Specific treatment of pelvic disruption in a multiply injured patient |
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72 | (4) |
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6 Control of pelvic hemorrhage |
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76 | (4) |
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7 Definite fracture care in the multiply injured patient |
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80 | (1) |
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80 | (1) |
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81 | (2) |
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1.5 Defining the injury: assessment and principles of management of pelvic ring fractures |
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83 | (16) |
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83 | (1) |
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83 | (4) |
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3 Radiographic assessment |
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87 | (5) |
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4 Principles of management of pelvic ring fractures |
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92 | (6) |
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98 | (1) |
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99 | (164) |
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1.6 Surgical approaches to the pelvis |
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103 | (14) |
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103 | (1) |
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2 Approaches to the anterior ring |
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103 | (5) |
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3 Approaches to the posterior ring |
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108 | (1) |
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4 Anterior (intrapelvic) approach to the sacroiliac joint |
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108 | (2) |
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5 Posterior (extrapelvic) approach to the sacroiliac joint and lateral sacrum |
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110 | (3) |
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113 | (2) |
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115 | (2) |
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1.7 External fixation of the pelvic ring |
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117 | (16) |
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117 | (1) |
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117 | (2) |
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119 | (2) |
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121 | (2) |
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5 Pin placement in the iliac crest |
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123 | (5) |
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6 Pin placement in the anterior inferior iliac spine |
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128 | (1) |
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128 | (1) |
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129 | (1) |
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129 | (2) |
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131 | (2) |
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1.8.1 Internal fixation of the injured pelvic ring: rationale |
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133 | (6) |
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133 | (1) |
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2 Benefits of internal fixation |
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133 | (2) |
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135 | (2) |
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4 Individual types: rationale |
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137 | (1) |
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137 | (1) |
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138 | (1) |
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1.8.2 Internal fixation of the injured pelvic ring: navigation |
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139 | (14) |
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1 Patient selection and indications |
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139 | (1) |
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2 Preoperative assessment |
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140 | (3) |
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143 | (1) |
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4 Principles of navigation and guidance |
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144 | (7) |
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151 | (1) |
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152 | (1) |
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1.8.3 The management of the injured pelvic ring: internal fixation of stable pelvic ring fractures (type A) |
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153 | (6) |
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1 Patient selection/indications |
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153 | (1) |
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2 Nonoperative management |
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154 | (1) |
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154 | (1) |
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155 | (2) |
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157 | (1) |
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157 | (1) |
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157 | (1) |
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157 | (1) |
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158 | (1) |
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1.8.4 The management of the injured pelvic ring: internal fixation of the anterior pelvic injuries-open book type (B1) |
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159 | (16) |
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159 | (3) |
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2 Nonoperative management |
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162 | (1) |
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162 | (1) |
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163 | (7) |
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170 | (1) |
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170 | (1) |
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171 | (1) |
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172 | (1) |
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173 | (2) |
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1.8.5 Internal fixation of lateral compression fractures (type B2) |
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175 | (12) |
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1 Patient selection and indications |
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175 | (1) |
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176 | (1) |
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177 | (1) |
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177 | (4) |
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5 Special fracture considerations |
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181 | (4) |
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185 | (1) |
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185 | (1) |
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185 | (1) |
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185 | (2) |
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1.8.6 Internal fixation of unstable fractures (types B3 and C) |
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187 | (48) |
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Milton Lee (Chip) Routt Jr. |
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1 Patient selection/indications |
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187 | (5) |
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2 Nonoperative management |
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192 | (1) |
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192 | (2) |
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194 | (36) |
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230 | (1) |
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231 | (1) |
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231 | (1) |
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232 | (1) |
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233 | (2) |
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235 | (28) |
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235 | (1) |
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235 | (1) |
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236 | (1) |
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4 Clinical importance of the sacral anatomy |
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237 | (1) |
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237 | (3) |
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6 Incidence and injury mechanism |
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240 | (1) |
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7 Patient selection and indications |
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241 | (3) |
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244 | (1) |
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244 | (4) |
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248 | (3) |
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11 Fracture stabilization and choice of implants |
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251 | (4) |
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12 Completely unstable pelvic ring injury (type C) with major displacement and without neurological deficit |
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255 | (3) |
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258 | (2) |
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260 | (1) |
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260 | (1) |
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261 | (2) |
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Section 3 Special indications |
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263 | (88) |
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1.10 Lumbosacral instability and stabilization |
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265 | (10) |
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265 | (4) |
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269 | (1) |
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269 | (3) |
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4 Decompression technique |
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272 | (1) |
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272 | (1) |
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273 | (1) |
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273 | (1) |
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274 | (1) |
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274 | (1) |
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1.11 Open pelvic fracture |
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275 | (10) |
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275 | (1) |
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275 | (1) |
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276 | (1) |
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277 | (1) |
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278 | (4) |
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282 | (1) |
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282 | (1) |
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283 | (1) |
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283 | (1) |
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283 | (1) |
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284 | (1) |
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1.12 Pelvic ring disruption in women: genitourinary and obstetrical implications |
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285 | (20) |
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285 | (1) |
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2 The nonpregnant female patient |
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285 | (10) |
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3 The pregnant trauma patient |
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295 | (2) |
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4 Pelvic trauma as a consequence of pregnancy |
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297 | (4) |
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301 | (1) |
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302 | (3) |
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1.13 Urological injuries in pelvic ring trauma: assessment and management in male patients |
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305 | (8) |
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1 Anatomy and classification |
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305 | (2) |
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307 | (2) |
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3 Pelvic fracture urethral injuries |
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309 | (2) |
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311 | (1) |
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312 | (1) |
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1.14 Injury to the pelvis in pediatric patients: the immature skeleton |
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313 | (24) |
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1 Anatomy and classification |
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313 | (6) |
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2 Patient selection and indications |
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319 | (1) |
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320 | (1) |
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321 | (10) |
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331 | (1) |
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332 | (2) |
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334 | (1) |
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334 | (1) |
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335 | (2) |
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1.15.1 Insufficiency fractures of the pelvis: metabolic and nonoperative workup |
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337 | (10) |
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337 | (1) |
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2 Etiology and pathogenesis |
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337 | (1) |
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3 Assessment and medical evaluation |
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338 | (4) |
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4 Nonoperative management |
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342 | (2) |
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344 | (1) |
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344 | (3) |
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1.15.2 Insufficiency fractures of the pelvis: operative management |
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347 | (4) |
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1 Patient selection and indications |
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347 | (1) |
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347 | (1) |
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347 | (1) |
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348 | (1) |
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348 | (2) |
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350 | (1) |
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Section 4 Results and complications |
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351 | (74) |
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1.16.1 Outcomes after pelvic ring injuries: general concept and conclusion |
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353 | (8) |
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353 | (1) |
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2 Outcomes and complications following pelvic ring injuries |
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353 | (4) |
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3 Injury and treatment factors related to outcome |
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357 | (1) |
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358 | (1) |
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359 | (2) |
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1.16.2 Outcomes after pelvic ring injuries: critical review of the world experience |
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361 | (16) |
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361 | (1) |
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2 Health outcomes and management |
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361 | (2) |
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3 Level of evidence and evidence-based practice |
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363 | (1) |
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4 Basis of outcomes evaluation of pelvic ring injuries |
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363 | (1) |
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5 Outcomes after type A injuries |
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364 | (1) |
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6 Outcomes after type B injuries |
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365 | (3) |
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7 Outcomes after type C injuries |
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368 | (5) |
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373 | (1) |
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374 | (3) |
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1.17 Venous thromboembolism in pelvic trauma |
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377 | (24) |
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377 | (1) |
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2 Epidemiology of venous thromboembolism in pelvic trauma |
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377 | (3) |
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3 Diagnosis of clinically suspected venous thromboembolism |
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380 | (2) |
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4 Treatment of venous thromboembolism in patients with pelvic trauma |
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382 | (1) |
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5 Prevention of venous thromboembolism in pelvic trauma |
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383 | (5) |
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6 Screening for asymptomatic deep vein thrombosis |
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388 | (1) |
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7 Practical aspects of thrombosis prevention in patients with pelvic fracture |
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389 | (2) |
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391 | (1) |
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392 | (9) |
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1.18 Complications of pelvic trauma |
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401 | (14) |
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401 | (1) |
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401 | (7) |
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408 | (3) |
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411 | (1) |
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412 | (3) |
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1.19 Malunion and nonunion of the pelvis: posttraumatic deformity |
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415 | (10) |
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415 | (1) |
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415 | (1) |
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416 | (1) |
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416 | (1) |
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416 | (3) |
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419 | (1) |
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420 | (3) |
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423 | (2) |
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Section 5 Principles of the treatment of acetabular fractures |
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425 | (78) |
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2.1 Anatomy of the acetabulum |
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427 | (14) |
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427 | (1) |
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427 | (1) |
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427 | (2) |
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429 | (1) |
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430 | (2) |
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432 | (1) |
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432 | (1) |
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432 | (1) |
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9 Acetabular biomechanics |
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433 | (1) |
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434 | (5) |
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439 | (1) |
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439 | (2) |
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2.2 Biomechanics of acetabular fractures |
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441 | (6) |
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441 | (1) |
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442 | (2) |
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3 Mechanics of acetabular fixation |
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444 | (1) |
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445 | (1) |
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445 | (2) |
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2.3 Pathoanatomy and classification of acetabularfractures |
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447 | (24) |
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447 | (1) |
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447 | (2) |
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3 Diagnosing the fracture |
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449 | (4) |
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4 Letournel-Judet classification (AO/OTA Fracture and Dislocation Classification) |
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453 | (15) |
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468 | (2) |
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470 | (1) |
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2.4 Defining the injury: assessment and principles of management of acetabular fractures |
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471 | (10) |
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471 | (1) |
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471 | (1) |
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3 Radiographic assessment |
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471 | (5) |
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4 Postoperative assessment |
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476 | (2) |
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5 Imaging of complications and associated injuries |
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478 | (1) |
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479 | (1) |
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480 | (1) |
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2.5 Decision making: nonoperative and operative indications for treatment of acetabular fractures |
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481 | (16) |
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481 | (1) |
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481 | (1) |
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3 Fracture classifications |
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482 | (1) |
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4 Nonoperative treatment of acetabular fractures |
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482 | (3) |
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5 Operative treatment of acetabular fractures |
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485 | (1) |
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6 Choice of operative approach |
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485 | (7) |
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492 | (2) |
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8 Delayed fracture indications |
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494 | (1) |
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9 Acute total hip arthroplasty |
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494 | (1) |
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495 | (1) |
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495 | (2) |
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2.6 General assessment and perioperative management of acetabular fractures |
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497 | (6) |
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497 | (1) |
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2 Evaluation of the patient as a whole |
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497 | (1) |
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3 Evaluation of the patient as a surgical candidate |
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498 | (1) |
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4 Medical optimization and anesthetic management |
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498 | (1) |
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5 General guidelines for anesthesia for pelvic fractures |
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499 | (1) |
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6 Anesthetic plan: nuances for associated injuries |
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500 | (1) |
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7 Blood/fluid resuscitation |
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500 | (1) |
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501 | (1) |
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501 | (2) |
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503 | (284) |
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2.7 Specific surgical approaches and technique |
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507 | (80) |
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507 | (1) |
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2 Indications for surgery and perioperative considerations |
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507 | (2) |
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509 | (2) |
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511 | (1) |
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512 | (1) |
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6 Selection of the optimal surgical approach |
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513 | (5) |
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518 | (4) |
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522 | (10) |
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9 Alternative to Kocher-Langenbeck: the modified Gibson approach |
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532 | (38) |
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10 Other special technical factors: trochanteric flip osteotomy with surgical dislocation of the femoral head for treatment of fractures of the acetabulum |
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570 | (5) |
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11 Extension of the ilioinguinal approach |
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575 | (2) |
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12 Postoperative management |
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577 | (2) |
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579 | (1) |
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580 | (7) |
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2.8 Planning and decision making: surgical approaches |
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587 | (24) |
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587 | (1) |
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587 | (2) |
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589 | (1) |
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590 | (2) |
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5 Operating room preparation |
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592 | (1) |
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6 Specific challenges to reducing individual fracture patterns |
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592 | (4) |
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596 | (1) |
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597 | (5) |
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602 | (2) |
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10 Transtrochanteric approach |
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604 | (1) |
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604 | (5) |
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609 | (1) |
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609 | (2) |
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2.9.1 Computer-assisted closed techniques of reduction and fixation |
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611 | (14) |
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611 | (1) |
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612 | (1) |
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3 Computer-assisted orthopedic surgery (image-guided surgery) |
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613 | (2) |
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4 3-D (CT-based) versus 2-D (image intensification - based) surgical navigation for pelvic and acetabular fractures |
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615 | (2) |
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5 Screw trajectories for specific acetabular fracture patterns |
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617 | (5) |
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6 Reduction of radiation exposure to patient and surgeon |
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622 | (1) |
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622 | (1) |
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623 | (2) |
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2.9.2 Image intensifier---assisted closed techniques of reduction and fixation |
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625 | (14) |
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625 | (1) |
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2 Screw pathways and image intensifier visualization |
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625 | (5) |
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630 | (3) |
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633 | (2) |
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5 Specific fracture configurations |
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635 | (1) |
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636 | (1) |
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637 | (1) |
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637 | (2) |
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2.10.1 Techniques of reduction and fixation for acetabular fractures: open methods |
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639 | (22) |
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639 | (1) |
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2 Posterior wall fractures |
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639 | (9) |
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648 | (3) |
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651 | (9) |
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660 | (1) |
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660 | (1) |
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2.10.2 Surgical management of wall and column fractures (type A) |
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661 | (30) |
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1 Type A fractures: posterior wall (A1), posterior column (A2), and anterior column or anterior wall (A3) |
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661 | (1) |
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2 Type A1: posterior wall fractures |
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662 | (10) |
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3 Type A2: posterior column fractures |
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672 | (7) |
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4 Type A3: anterior column or anterior wall |
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679 | (9) |
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688 | (1) |
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689 | (2) |
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2.10.3 Surgical management of B types: B1, B2, B3 |
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691 | (36) |
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691 | (1) |
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2 Patient selection/indications |
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692 | (1) |
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3 B1: transverse fractures (including transverse with an associated posterior wall fragment) |
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692 | (13) |
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4 Transverse with posterior wall |
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705 | (3) |
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5 B2: partial articular fractures (T-type) |
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708 | (11) |
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6 B3: anterior column with posterior hemitransverse fractures |
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719 | (7) |
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726 | (1) |
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2.10.4 Surgical management of associated both-column fractures (type C) |
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727 | (30) |
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727 | (1) |
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2 Patient selection/indications |
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727 | (1) |
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727 | (1) |
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728 | (1) |
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5 Operating room logistics/patient positioning |
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729 | (1) |
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730 | (26) |
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756 | (1) |
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756 | (1) |
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756 | (1) |
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756 | (1) |
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756 | (1) |
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2.11.1 Cerclage wires and cable fixation for an acetabular fracture |
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757 | (10) |
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757 | (1) |
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2 Instrumentation for cable fixation of the acetabulum |
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757 | (3) |
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3 Preferred fractures for the use of cable fixation |
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760 | (2) |
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4 Other applications of cables inserted through the ilioinguinal approach |
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762 | (1) |
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5 Cable fixation for an acetabular fracture managed with an acute total hip replacement |
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762 | (3) |
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765 | (1) |
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765 | (2) |
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2.11.2 Intrapelvic approach in acetabular fractures |
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767 | (8) |
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767 | (1) |
|
|
767 | (1) |
|
3 Technique for the intrapelvic approach |
|
|
768 | (2) |
|
4 Reduction and fixation techniques |
|
|
770 | (4) |
|
|
774 | (1) |
|
|
774 | (1) |
|
|
774 | (1) |
|
2.11.3 Use of bone substitutes |
|
|
775 | (6) |
|
|
|
|
775 | (1) |
|
|
775 | (1) |
|
3 Biological agents used to augment fracture healing |
|
|
776 | (2) |
|
|
778 | (1) |
|
|
779 | (2) |
|
2.11.4 Intraoperative assessment of acetabular fractures |
|
|
781 | (6) |
|
|
|
|
|
|
781 | (1) |
|
2 Intraoperative assessment |
|
|
781 | (4) |
|
|
785 | (1) |
|
|
786 | (1) |
|
Section 7 Special situations |
|
|
787 | (84) |
|
2.12 The elderly patient with an acetabular fracture |
|
|
789 | (14) |
|
|
|
|
789 | (1) |
|
2 Acute total hip arthroplasty |
|
|
790 | (3) |
|
3 Minimally invasive techniques |
|
|
793 | (2) |
|
4 Open reduction and internal fixation |
|
|
795 | (1) |
|
|
795 | (1) |
|
6 Treatment failure and delayed total hip arthroplasty |
|
|
796 | (5) |
|
|
801 | (1) |
|
|
802 | (1) |
|
2.13 Primary total hip arthroplasty for acetabular fracture |
|
|
803 | (20) |
|
|
|
803 | (3) |
|
2 Indications for an acute total THA |
|
|
806 | (3) |
|
3 Contraindications to acute THA |
|
|
809 | (1) |
|
4 Preoperative assessment |
|
|
810 | (1) |
|
5 Surgical strategies for acute THA with stabilization of the acetabulum |
|
|
810 | (1) |
|
6 Standard surgical technique |
|
|
811 | (1) |
|
7 Techniques for specific fracture patterns |
|
|
811 | (3) |
|
8 Small incision techniques for THA and their use for acute acetabular fractures |
|
|
814 | (1) |
|
9 Alternative strategies for fracture fixation and buttressing of bone graft |
|
|
814 | (4) |
|
|
818 | (1) |
|
|
819 | (1) |
|
|
819 | (2) |
|
|
821 | (2) |
|
2.14 Total hip arthroplasty after acetabular fracture |
|
|
823 | (12) |
|
|
|
823 | (1) |
|
2 Total hip arthroplasty for failed treatment of acetabular fractures |
|
|
823 | (1) |
|
3 Early THA for acute treatment of acetabular fractures |
|
|
824 | (5) |
|
|
829 | (1) |
|
5 Technical considerations |
|
|
829 | (1) |
|
6 Postoperative management |
|
|
830 | (3) |
|
|
833 | (1) |
|
|
833 | (2) |
|
2.15 Pathological pelvic fractures and acetabular reconstruction in metastatic disease |
|
|
835 | (14) |
|
|
|
|
835 | (1) |
|
2 Metastatic disease of the acetabulum |
|
|
836 | (1) |
|
|
837 | (4) |
|
|
841 | (1) |
|
|
842 | (4) |
|
6 Tumor-related conditions affecting the pelvis |
|
|
846 | (1) |
|
|
846 | (2) |
|
|
848 | (1) |
|
2.16 Acetabular fracture in the pediatric patient: the immature skeleton |
|
|
849 | (18) |
|
|
1 Anatomy and classification |
|
|
849 | (3) |
|
|
852 | (3) |
|
3 Decision for nonoperative or operative therapy |
|
|
855 | (2) |
|
|
857 | (6) |
|
|
863 | (1) |
|
|
864 | (1) |
|
|
864 | (1) |
|
|
865 | (1) |
|
|
866 | (1) |
|
2.17 Posttraumatic acetabular dysplasia |
|
|
867 | (4) |
|
|
|
|
|
867 | (1) |
|
|
867 | (1) |
|
|
867 | (2) |
|
|
869 | (1) |
|
|
869 | (1) |
|
|
870 | (1) |
|
Section 8 Results and complications |
|
|
871 | |
|
|
873 | (12) |
|
|
|
|
|
873 | (1) |
|
|
873 | (1) |
|
|
874 | (1) |
|
|
875 | (2) |
|
|
877 | (2) |
|
|
879 | (1) |
|
|
880 | (1) |
|
|
881 | (1) |
|
9 Intraarticular hardware |
|
|
882 | (1) |
|
10 Trochanteric osteotomy |
|
|
882 | (1) |
|
|
883 | (2) |
|
|
885 | (8) |
|
|
|
|
|
885 | (1) |
|
|
886 | (1) |
|
|
886 | (1) |
|
4 Heterotopic ossification |
|
|
887 | (3) |
|
5 Posttraumatic osteoarthrosis |
|
|
890 | (1) |
|
|
891 | (1) |
|
|
892 | (1) |
|
2.20 Surgical management of delayed acetabular fractures |
|
|
893 | (10) |
|
|
|
|
893 | (1) |
|
2 Patient selection and indications |
|
|
894 | (1) |
|
|
894 | (1) |
|
|
894 | (3) |
|
|
897 | (1) |
|
|
897 | (2) |
|
|
899 | (1) |
|
|
900 | (1) |
|
|
901 | (2) |
|
2.21 Late acetabular reconstruction |
|
|
903 | (10) |
|
|
|
|
|
903 | (1) |
|
|
903 | (1) |
|
3 Surgical treatment: potential problems |
|
|
904 | (1) |
|
|
904 | (4) |
|
|
908 | (1) |
|
|
909 | (2) |
|
|
911 | (1) |
|
|
912 | (1) |
|
2.22 Malunion and nonunion |
|
|
913 | (14) |
|
|
|
|
1 Anatomy and classification |
|
|
913 | (1) |
|
2 Patient selection/indication |
|
|
914 | (3) |
|
|
917 | (1) |
|
|
918 | (5) |
|
|
923 | (1) |
|
|
924 | (1) |
|
|
924 | (2) |
|
|
926 | (1) |
|
2.23 Results of treatment for fractures of the acetabulum |
|
|
927 | |
|
|
|
927 | (1) |
|
2 Natural history: why operate? |
|
|
927 | (2) |
|
3 Historical results: methods of assessment and outcomes |
|
|
929 | (2) |
|
4 Letournel's results: the gold standard |
|
|
931 | (2) |
|
5 Summary of Letournel's results |
|
|
933 | (3) |
|
6 How do we improve outcomes in the 21st century? |
|
|
936 | (1) |
|
|
936 | (2) |
|
|
938 | |