The purpose of this study was to quantify the strain and fracture timing of the pelvic bones during dynamic side impact loading. A total of 3 high-energy side impact tests, 23.4 kg at 12 m/s, were performed on 3 fresh, previously frozen human male cadavers using a custom pneumatic impactor. For two cadavers the impacting surface was a rigid aluminum plate, 250mm x 250mm, while the third cadaver was impacted using a 102 mm thick block of foam attached to the aluminum plate. For all cadavers the impacting surface contacted both the ilium wing and greater trochanter. In order to obtain pelvic bone strain and fracture timing, strain gages were applied to the ilium wing, superior pubic ramus, and inferior pubic ramus. The results of the study showed that for all impact conditions, the superior and inferior pubic rami were subjected to compressive loading. The time histories of each strain gage were analyzed to determine the time of fracture which could then be directly correlated to impactor force. For both rigid impact tests, the superior pubic ramus was found to fracture at approximately the time of peak impactor force, 18,109 N to 20,541 N, followed by the fracture of the inferior pubic ramus, 14,275 N to 15,930 N. Conversely, the test conducted with the foam block was found to successfully attenuate the peak impactor force and prevent injury to the pelvic boney structures.
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J Orthop Case Rep
January 2025
Department of Orthopedics, Stanley Medical College, Chennai, Tamil Nadu, India.
Introduction: Osteochondroma is a bony lesion arising from the surface of the bone. It com-prises a large percentage of all benign bone tumors. A unique feature of this tumor is the conti-nuity of cortical and medullary components between the normal bony tissue and aberrant tissue of osteochondroma.
View Article and Find Full Text PDFJBJS Essent Surg Tech
January 2025
Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, New York.
Background: The pelvis is one of the most common areas for metastatic bone disease. We recently described the use of a minimally invasive percutaneous screw fixation of metastatic non-periacetabular pelvic lesions, with excellent results.
Description: The procedure can be completed in a standard operating theater without the need for special instruments.
Chin J Traumatol
December 2024
Division of Trauma and War Injury, Daping Hospital, Army Medical University of PLA, Chongqing, 400042, China. Electronic address:
Endoscopic techniques have been widely used in orthopedic surgery, such as arthroscopy and transforaminal endoscopy, but the application in fracture is rarely reported. We reported a case of a 69-year-old male with pelvic fracture (AO/OTA type B2.1) who underwent successful laparoscopy-assisted pubic ramus plate fixation without auxiliary incision.
View Article and Find Full Text PDFOper Orthop Traumatol
December 2024
Department of Orthopedics and Traumatology, Centre Hospitalier Universitaire Vaudois, (CHUV), Rue de Bugnon 46, 1011, Lausanne, Switzerland.
Objective: Minimally invasive percutaneous techniques are used to stabilize fractures of the anterior pelvic ring. Stabilization of the fracture facilitates early mobilization and rehabilitation, while percutaneous techniques reduce complications such as infection and bleeding.
Indications: Indicated for patients with non- or minimally displaced fractures of the anterior pelvic ring, or if fracture displacement can be reduced using minimally invasive techniques.
J Anesth
December 2024
Department of Anesthesiology and Intensive Care Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
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