Biomechanics of the Pelvis
The basic biomechanical understanding of the ring structure of the pelvis is described and the relevance of surrounding structures including the value of ligaments, myofascial structures, the pubic symphysis, the SI joint, and the sacrum is presented for
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Pelvic Ring Fractures
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Pelvic Ring Fractures
Axel Gänsslen • Jan Lindahl Stephan Grechenig • Bernd Füchtmeier Editors
Pelvic Ring Fractures
Editors Axel Gänsslen Department of Trauma Surgery, Orthopedics and Hand Surgery Hospital Wolfsburg
Wolfsburg Germany Stephan Grechenig Klinik für Unfallchirurgie Krankenhaus Barmherzige Brüder Regensburg Bayern Germany
Jan Lindahl Orthopaedics and Trauma Surgery Helsinki University Hospital Helsinki Finland Bernd Füchtmeier Klinik für Unfallchirurgie Krankenhaus Barmherzige Brüder Regensburg Bayern Germany
ISBN 978-3-030-54729-5 ISBN 978-3-030-54730-1 (eBook) https://doi.org/10.1007/978-3-030-54730-1 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
High-energy pelvic fractures continue to present a serious challenge to trauma care. Over the last five decades, our knowledge has increased on the assessment, trauma mechanisms, classification, and management protocols for this particular, potentially lethal injury. During the 1970s, the patho-anatomical pattern of a lethal vascular injury was revealed in post-mortem studies by Huittinen and Slätis in 1973. At the same time (1972), the first case report by Margolies et al. was published on the use of angiographic embolization in the emergency treatment of pelvic fracture-related arterial bleeding. The last decades have been a time of rapid progress in the control of pelvic fracture-related mortality and morbidity. A better understanding of the anatomic features of these fractures and an awareness of potential major, exsanguinating arterial hemorrhage have led to multidisciplinary approaches for controlling bleeding and temporarily stabilizing
