Abstract: The pelvis is comprised of two bilaterally symmetrical hemipelves, each consisting of the ilium, ischium, pubis and acetabular bones. Each ilium is attached to the spine at the sacrum, forming the sacroiliac joints. Weight-bearing loads are transmitted from the femoral head to the acetabulum, along the body of the ilium, and through the sacroiliac joint to spine. Sacroiliac luxation involves displacement of ilial body from its attachment to the sacrum. Fractures of the pubis and ischium are often present and allow displacement of the hemipelvis, usually cranially and dorsally. Fractures of the ilium disrupt the weight-bearing axis of pelvis, leading to significant dysfunction. They are usually accompanied by fractures of the pubis and ishium, allowing the caudal segment of fracture to collapse medially into the pelvic canal. Alternative procedures (symphysiotomy and pelvic ostectomy) should be considered if repair of the collapsed pelvis requires removal of the acetabulum and ilium, since resection of these structures would necessitate concurrent limb amputation.
Publication Year: 2022
Publication Date: 2022-05-03
Language: en
Type: book-chapter
Indexed In: ['crossref']
Access and Citation
AI Researcher Chatbot
Get quick answers to your questions about the article from our AI researcher chatbot