Journal of orthopaedic trauma
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Periprosthetic fractures of the acetabulum are largely underreported in the literature, none of which describes the management of such injuries associated with a pelvic ring injury. Our case report discusses our approach to managing a periprosthetic both-column acetabulum fracture associated with an open-book pelvic ring injury. Instead of a revision total hip arthroplasty, we chose to perform an open reduction internal fixation to maintain sufficient bone stock for future revision, if necessary. At 18 months postoperative follow-up, the patient was ambulating independently and had sufficient range of motion that was comparable to the contralateral hip.
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The aim of this study is to determine if selective transcatheter arterial embolization (TAE) of the branches of the internal iliac artery in patients with pelvic trauma is a risk for gluteal necrosis. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Comparative Study
Anterior pelvic external fixator versus subcutaneous internal fixator in the treatment of anterior ring pelvic fractures.
To compare the short-term results of anterior pelvic external fixation (APEF) versus anterior pelvic internal fixation (APIF) applied subcutaneously in the context of surgical treatment of pelvic ring injuries. ⋯ Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Previous studies have reported a negative effect of pelvic trauma on genitourinary and reproductive function of women. However, fracture pattern, injury severity, and final fracture alignment have not been well studied. The purpose of this project was to describe sexual function in women after pelvic ring injury. ⋯ Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Residual dysfunction after pelvic trauma has been previously described, but limited functional outcome data are available in the female population after high-energy pelvic ring injury. The purposes of this study were to determine functional outcomes and to characterize factors predictive of outcome. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.