Surgical treatment of unstable lesions of pelvic ring with the account of anatomic-functional features of sacroiliac joints
R.Ya. KABIBYANOV1,2, M.A. NIKITIN2
1Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012
2Republican Clinical Hospital, 138 Orenburgskiy trakt, building B, Kazan, Russian Federation, 420064
Khabibyanov R.Ya. — D.Sc. (medicine), Associate Professor of the Department of Traumatology and Orthopedics, Head of the Scientific-Research Department, e-mail: rjh59@mail.ru
Nikitin M.A. — traumatologist-orthopedist, e-mail: rjh59@mail.ru
The article presents and substantiates, with the account of anatomic-functional features of sacroiliac joints, the multi-functional role of sacral bone and sacroiliac joints. During locomotion, the position of the sacral bone changes from the wedge inserted from above — the stable position of the pelvic ring formix — to the “pendant bridge” position — maximal damper properties. Performing metal osteosynthesis in the position of sacral bone — counter-nutation — provides maximal stability of pelvic osteosynthesis with minor lesions of the pelvic ring.
Key words: sacroiliac joints, pelvic bones, reposition, damping, pelvic ring formix, wedge, nutation, counter-nutation.
(For citation: Khabibyanov R.Ya., Nikitin M.A. Surgical treatment of unstable lesions of pelvic ring with the account of anatomic-functional features of sacroiliac joints. Practical Medicine. 2018)
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