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Why the supraacetabulum half pin placement is more advantageus than the iliac crest in pelvic ex-fix?

User Babboon
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Final answer:

The advantage of placing fixation pins in the supraacetabulum region rather than the iliac crest for pelvic external fixation is related to better stability and fewer soft tissue complications due to the specific anatomy of the pelvic region.

Step-by-step explanation:

The question pertains to the advantage of supraacetabular half pin placement over iliac crest pin placement in pelvic external fixation (ex-fix). The supraacetabulum is a region of the hip bone located above the acetabulum, the cup-like structure that receives the femoral head to form the hip joint. The placement of fixation pins in this area can provide better stability and may compromise less soft tissue compared to the iliac crest, which is the curved, superior margin of the pelvis that serves as a key structure in the pelvic anatomy.

Given the anatomy of the pelvic region, including structures like the sacroiliac joints and ischial spines, precise placement of ex-fix pins is critical to avoid damaging important anatomical landmarks and to ensure optimal patient outcomes. The supra acetabulum half pin placement is more advantageous than the iliac crest in pelvic ex-fixation due to the anatomical differences between male and female hip bones. The female pelvis is wider and has a larger subpubic angle, while the male pelvis is narrower and deeper. The supra acetabulum, which is located on the lateral side of the hip bone, provides a more stable and secure fixation point for the external fixator in pelvic fractures.

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