The incidence of pelvic fractures with traumatic lower limb amputation in modern warfare due to improvised explosive devices

2014 ◽  
Vol 100 (2) ◽  
pp. 152-156
Author(s):  
AM Cross ◽  
C Davis ◽  
J Penn-Barwell ◽  
DM Taylor ◽  
WF De Mello ◽  
...  
Keyword(s):  
Pelvic Fracture ◽  
Lower Limb ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Improvised Explosive Devices ◽  
Pelvic Ring Fractures ◽  
Improvised Explosive ◽  
Explosive Devices

AbstractAimsA frequently-seen injury pattern in current military experience is traumatic lower limb amputation as a result of improvised explosive devices (IEDs). This injury can coexist with fractures involving the pelvic ring. This study aims to assess the frequency of concomitant pelvic fracture in IED-related lower limb amputation.MethodsA retrospective analysis of the trauma charts, medical notes, and digital imaging was undertaken for all patients arriving at the Emergency Department at the UK military field hospital in Camp Bastion, Afghanistan, with a traumatic lower limb amputation in the six months between September 2009 and April 2010, in order to determine the incidence of associated pelvic ring fractures.ResultsOf 77 consecutive patients with traumatic lower limb amputations, 17 (22%) had an associated pelvic fracture (eleven with displaced pelvic ring fractures, five undisplaced fractures and one acetabular fracture). Unilateral amputees (n=31) had a 10% incidence of associated pelvic fracture, whilst 30 % of bilateral amputees (n=46) had a concurrent pelvic fracture. However, in bilateral, trans-femoral amputations (n=28) the incidence of pelvic fracture was 39%.ConclusionsThe study demonstrates a high incidence of pelvic fractures in patients with traumatic lower limb amputations, supporting the routine pre-hospital application of pelvic binders in this patient group.

scholarly journals Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases

2019 ◽  
Author(s):  
Pengyu Li ◽  
Dongsheng Zhou ◽  
Baisheng Fu ◽  
Wenhao Song ◽  
Jinlei Dong
Keyword(s):  
Retrospective Study ◽  
Pelvic Fracture ◽  
Influence Factor ◽  
Pelvic Ring ◽  
Delayed Diagnosis ◽  
Pubic Symphysis ◽  
Pelvic Fractures ◽  
Urethral Injury ◽  
Pelvic Ring Fractures ◽  
Vaginal Injury

Abstract Backgound: Pelvic ring fractures associated with vaginal injuries were rarely reported due to low incidence. The displaced segments of pelvic ring may increase the risk of vaginal injury. The aim of this retrospective study was to evaluate the correlation between pelvic fracture and vaginal injury. Methods: We conducted a retrospective review of 25 patients with pelvic fractures associated with vaginal injury treated at our institution. The medical records of these patients were collected and 24 patients were followed-up for 10-36 months. Results: All patients suffered anterior pelvic ring fracture. Young-Burgess fracture classification and compromised pubic symphysis were related to severity vaginal injury. Gauze packing was done in 6 patients and 18 patients received surgical repair. Infection occurred in 6 patients among them 4 were due to delayed diagnosis. Factors associated with pelvic outcome were age, urethral injury, and infection. Four patients suffered pain in sexual intercourse but no influence factor found correlated to sexual function. Conclusion: VS type pelvic fractures and compromised pubic symphysis are related to higher severity of vaginal injury. Disruption of anterior ring and an unstable pelvic ring caused by forces on coronary and axial plane may increase the risk of vaginal injury. Key words: Pelvic fracture, Vaginal injury, Clinical outcome

scholarly journals Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases

2019 ◽  
Author(s):  
Pengyu Li ◽  
Dongsheng Zhou ◽  
Baisheng Fu ◽  
Wenhao Song ◽  
Jinlei Dong
Keyword(s):  
Retrospective Study ◽  
Pelvic Fracture ◽  
Influence Factor ◽  
Pelvic Ring ◽  
Delayed Diagnosis ◽  
Pubic Symphysis ◽  
Pelvic Fractures ◽  
Urethral Injury ◽  
Pelvic Ring Fractures ◽  
Vaginal Injury

Abstract Backgound: Pelvic ring fractures associated with vaginal injuries were rarely reported due to low incidence. The displaced segments of pelvic ring may increase the risk of vaginal injury. The aim of this retrospective study was to evaluate the correlation between pelvic fracture and vaginal injury. Methods: We conducted a retrospective review of 25 patients with pelvic fractures associated with vaginal injury treated at our institution. The medical records of these patients were collected and 24 patients were followed-up for 10-36 months. Results: All patients suffered anterior pelvic ring fracture. Young-Burgess fracture classification and compromised pubic symphysis were related to severity vaginal injury. Gauze packing was done in 6 patients and 18 patients received surgical repair. Infection occurred in 6 patients among them 4 were due to delayed diagnosis. Factors associated with pelvic outcome were age, urethral injury, and infection. Four patients suffered pain in sexual intercourse but no influence factor found correlated to sexual function. Conclusion: VS type pelvic fractures and compromised pubic symphysis are related to higher severity of vaginal injury. Disruption of anterior ring and an unstable pelvic ring caused by forces on coronary and axial plane may increase the risk of vaginal injury. Key words: Pelvic fracture, Vaginal injury, Clinical outcome

scholarly journals Management and outcome of pelvic fracture associated with vaginal injuries: a retrospective study of 25 cases

2019 ◽  
Author(s):  
Pengyu Li ◽  
Dongsheng Zhou ◽  
Baisheng Fu ◽  
Wenhao Song ◽  
Jinlei Dong
Keyword(s):  
Retrospective Study ◽  
Pelvic Fracture ◽  
Influence Factor ◽  
Pelvic Ring ◽  
Delayed Diagnosis ◽  
Pubic Symphysis ◽  
Pelvic Fractures ◽  
Urethral Injury ◽  
Pelvic Ring Fractures ◽  
Vaginal Injury

Abstract Backgound: Pelvic ring fractures associated with vaginal injuries were rarely reported due to low incidence. The displaced segments of pelvic ring may increase the risk of vaginal injury. The aim of this retrospective study was to evaluate the correlation between pelvic fracture and vaginal injury. Methods: We conducted a retrospective review of 25 patients with pelvic fractures associated with vaginal injury treated at our institution. The medical records of these patients were collected and 24 patients were followed-up for 10-36 months. Results: All patients suffered anterior pelvic ring fracture. Young-Burgess fracture classification and compromised pubic symphysis were related to severity vaginal injury. Gauze packing was done in 6 patients and 18 patients received surgical repair. Infection occurred in 6 patients among them 4 were due to delayed diagnosis. Factors associated with pelvic outcome were age, urethral injury, and infection. Four patients suffered pain in sexual intercourse but no influence factor found correlated to sexual function. Conclusion: VS type pelvic fractures and compromised pubic symphysis are related to higher severity of vaginal injury. Disruption of anterior ring and an unstable pelvic ring caused by forces on coronary and axial plane may increase the risk of vaginal injury. Key words: Pelvic fracture, Vaginal injury, Clinical outcome

Lower limb injuries caused by improvised explosive devices: Proposed ‘Bastion classification’ and prospective validation

Injury ◽  
2014 ◽  
Vol 45 (9) ◽  
pp. 1422-1428 ◽  
Author(s):  
N. Jacobs ◽  
K. Rourke ◽  
J. Rutherford ◽  
A. Hicks ◽  
S.R.C. Smith ◽  
...  
Keyword(s):  
Lower Limb ◽  
Improvised Explosive Devices ◽  
Lower Limb Injuries ◽  
Limb Injuries ◽  
Improvised Explosive ◽  
Explosive Devices

scholarly journals Loss of Ambulatory Independence Following Low-Energy Pelvic Ring Fractures

2019 ◽  
Vol 10 ◽  
pp. 215145931987810
Author(s):  
David N. Kugelman ◽  
Nina Fisher ◽  
Sanjit R. Konda ◽  
Kenneth A. Egol
Keyword(s):  
Pelvic Fracture ◽  
Functional Outcomes ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
Assistive Devices ◽  
Low Energy ◽  
Pelvic Ring Fractures ◽  
Long Term Follow Up

Introduction: Lateral compression type 1 (LC1) pelvic ring fractures make up 63% of all pelvic ring injuries. This fracture pattern is typically seen in older patients. The purpose of this study is to assess the ambulatory status of individuals sustaining LC1 fractures at long-term follow-up and what specific characteristics, if any, effect this status or functional outcomes. Methods: Over a 2-year period, all pelvic ring injury at 2 hospitals within one academic institution was queried. One hundred sixty-one low-energy LC1 pelvic fractures were identified. Results: Fifty patients were available for long-term outcomes (mean: 36 months). Long-term functional outcomes (mean follow-up: 36 months) as measured by SMFA subgroup scores were demonstrated to be 3 times higher in patients currently using assistive devices for walking ( P = .012). Increased age ( P = .050) was associated with the continued use of assistive walking devices. Of the patients who did not use an ambulatory device prior to LC1 injury, 5 (11.6%) sustained a fall or medical complication within 30 days of the index pelvic fracture; this was associated with the current use of an assistive ambulatory device ( P = .010). Forty-three (86%) patients didn’t use an assistive ambulatory device prior to sustaining the LC1 fracture. Seven (14%) patients utilized assistive devices both before and after the LC1 injury. Thirteen (26%) patients, who did not utilize assistive ambulatory devices prior to their injury, necessitated them at long-term follow-up. Discussion: Surgeons should be aware of these associations, as they can implement early interventions aimed at patients at risk, for assistive device use, following LC1 pelvic fractures. Conclusion: More than a quarter of the patients sustaining an LC1 pelvic fracture continue to use an aid for ambulation at long-term follow-up. Older age, complications, and falls within 30 days of this injury are associated with the utilization of an assistive ambulatory device.

Sign in / Sign up

Export Citation Format

Share Document