scholarly journals ILIOPECTINEAL LIGAMENT AS AN IMPORTANT LANDMARK IN ILIOINGUINAL APPROACH OF THE ANTERIOR ACETABULUM: A CADAVERIC MORPHOLOGIC STUDY

2019 ◽  
Vol 7 (3.3) ◽  
pp. 6976-6982
Author(s):  
Ayman Ahmed Khanfour ◽  
◽  
Ashraf Ahmed Khanfour ◽  
Author(s):  
Evgeny Shaydakov ◽  
Vladimir Sannikov ◽  
Vladimir Emelynenko ◽  
Tatyana Tolstikova
Keyword(s):  

2021 ◽  
pp. 192-201
Author(s):  
Jessica Fiolin ◽  
Ludwig Andre Powantia Pontoh ◽  
Ismail Hadisoebroto Dilogo

Comprehensive emergency managements and early stabilization are pivotal upon treating complex pelvic and acetabular fractures. A thorough operative strategy is required to determine the best operative approach based on the patient’s general condition, available facilities, and surgeon preferences in such complex fracture configuration. Advanced technique of the fixation is necessary during a skillful execution of surgery in order to achieve good treatment results. An 18-years-old female crushed by a bus upon crossing street, presented with hypovolemic shock with ISS polytrauma score 50 consisting of right acetabular associated both column fracture, bilateral pelvic fracture anteroposterior compression type 3, and coccygeal fracture with bilateral drop foot. She underwent emergency laparotomy, had her ovary, bladder, and intestine primarily sutured, and then we immobilized the pelvic using anterior frame external fixator, which was maintained for 6 days. Upon stable condition, we performed right ilioinguinal approach and modified Stoppa with lateral window for the left side, while Kocher-Langenbeck technique was used to approach the posterior acetabular column. Postoperative radiology showed an adequate internal fixation in both right acetabular columns, successful reconstruction of pelvic ring which was fixated the left ischium, left superior and inferior pubic rami, and full restoration of left sacroiliac joint disruption. Majeed pelvic outcome score was 54, while Hannover pelvic outcome score was good and the patient was able to sit without pain 2 months postoperative. Management of complex pelvic-acetabular-coccygeal fracture requires a holistic chain of treatment by emphasizing the prompt emergency management, accurate preoperative planning, and excellent execution of reconstructive surgical strategy to achieve satisfactory outcome.


2021 ◽  
Author(s):  
Ruyi Zou ◽  
Min Wu ◽  
Jianzhong Guan ◽  
Yuzhou Xiao ◽  
Xiaotian Chen

1977 ◽  
Vol 14 (2) ◽  
pp. 121-127 ◽  
Author(s):  
R. Müller-Peddinghaus ◽  
G. Trautwein

A morphologic study of 103 dogs, including two with renal amyloidosis, showed that different types of diffuse glomerulonephritis are correlated with different age groups. Membranous and membranoproliferative glomerulonephritis were more common in middle-aged and older animals, whereas mesangial lesions were found predominantly in younger dogs and considered to be early glomerular changes. Glomerulonephritis largely occurred independently of interstitial nephritis. The incidence of interstitial lesions was 71%. Chronic interstitial nephritis was rare in dogs under 1 year old. Glomerulonephritis did not seem to induce interstitial nephritis. Glomerulonephritis occurred not only in kidneys with severe interstitial damage, but also in those with slight damage. This indicated that glomerulonephritis occurred independently of interstitial nephritis. In end-stage kidneys with severe fibrosis, mesangial changes seemed to predominate.


1997 ◽  
Vol 19 (4) ◽  
pp. 249-255
Author(s):  
R. Wolfram-Gabel ◽  
J. L. Kahn ◽  
P. Bourjat
Keyword(s):  

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