Pelvic stress

Biomechanics testing simulated stress concentrations in the acetabulum resulting from a blow to the right trochanter, as commonly occurs in recreational and passenger contexts. Developing tolerance criteria for the pelvis is addressed in this paper in terms of (1) the load distribution and energy transmission to the pelvis via both soft tissues and the femur, (2) the instability of the femur-pelvis complex, and (3) the difficulty of predicting stress using simple, experimentally derived, parameters.     

Pelvic Exenteration

Pelvic exenteration offers the only possibility for cure in patients who have pelvic recurrence after receiving optimum amounts of irradiation. With improved radiotherapy techniques, the number of patients with isolated central failure is steadily diminishing, but there remains a significant number of patients with recurrent cancer of the cervix after radiation therapy for whom the procedure offers the only chance for life. Each patient must be assessed individually, with the risks of the procedure weighed against the possible benefits. Technical advances continue to reduce the operative mortality and ameliorate the postoperative morbidity associated with pelvic exenteration.