scholarly journals Open pelvic fractures - results of an multi-institutional study

2021 ◽  
pp. 65-65
Author(s):  
Marko Mladenovic ◽  
Predrag Stoiljkovic ◽  
Ivica Lalic ◽  
Vladimir Harhaji ◽  
Andrija Krstic
Keyword(s):  
High Mortality ◽  
Pelvic Ring ◽  
Hypovolemic Shock ◽  
Colon Resection ◽  
Pelvic Fractures ◽  
Type I ◽  
Vertical Force ◽  
Abdominal Injuries ◽  
Mortality Factors ◽  
Pelvic Ring Fractures

Open pelvic fractures are devastating injuries, rare, and with high mortality. Leading causes of mortality are: haemorrhage, infection and associated injuries. The aim of this paper is to point out methods of treating these injuries and great number of prognostic mortality factors. Material - in period from January 2011 to December 2015, 221 patients with pelvis ringfracture were treated in three large clinical centers of Serbia, of which 13(5%) had an open fracture type. We have classified pelvic ring fractures according to the Young - Burgess classification. We have classified injuries according to Gustilo at I, II, and III degree, and the location of the wound according to Faringer classification was distributed in zone I, II and III. Urogenital and intra-abdominal injuries were monitored, and severity of injuries was determined according to Severity Score Injury (ISS) and Trauma Score (TS). Results - there were 6(46%) women and 7(54%) men at the average age of 41(13 - 76). Injuries from traffic trauma are dominant. The most common cause of pelvic ring fracture is an anterior posterior compression - 6(46%), lateral compression - 4(31%) and vertical force in 3 (23%) patients. Dominant injuries are type I and II according to Gustilo, and zone I according to Faringer classification. There were 6 (46%) patients with urogenital injuries, and the same number with intra-abdominal injuries, of which 3(23%) patients have been treated with colon resection and diversion. Due to abundant hemorrhage and hypovolemic shock 2 patients died, and another one died after three days due to sepsis and multisystem organ failure (MSOF). Conclusion - Open pelvic fractures have high mortality rate, due to: haemorrhage, infection, associated abdominal and genitourinary tract injuries, ISS> 25, TS <8 and age of patient >65 years.

Pelvic Fractures

1994 ◽  
Vol 35 (5) ◽  
pp. 420-425 ◽  
Author(s):  
J. Albrechtsen ◽  
J. Hede ◽  
A. G. Jurik
Keyword(s):  
Femoral Head ◽  
Pelvic Ring ◽  
Posterior Part ◽  
Conventional Radiography ◽  
Pelvic Fractures ◽  
Acetabular Fractures ◽  
Pelvic Ring Fractures

Sixty-two patients with pelvic fractures were evaluated by conventional radiography and CT. A correct pathoanatomic classification of the fractures was most often obtained by conventional radiography, but CT added information regarding acetabular fractures and involvement of the posterior part of the pelvic ring. Besides, CT was essential in the detection of intraarticular fragments and lesions of the femoral head. Classification of pelvic ring fractures by the pattern of traumatic forces was easily obtainable by conventional radiography, but often difficult to achieve by CT.

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 Robot-assisted treatment of unstable pelvic fractures with a percutaneous iliac lumbar double rod fixation combined with a percutaneous pelvic anterior ring INFIX fixation

2020 ◽  
Vol 44 (6) ◽  
pp. 1223-1232
Author(s):  
Wei Du ◽  
Tao Sun ◽  
Yan Ding ◽  
Chuanqiang Jiang ◽  
Wenqing Qu ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Vena Cava ◽  
Operation Time ◽  
Pelvic Fractures ◽  
Robot Assisted ◽  
Posterior Pelvic Ring ◽  
Vein Thrombosis ◽  
Pelvic Ring Fractures ◽  
A Prospective Study ◽  
Anterior Ring

Abstract Objective To investigate the clinical effect of robot-assisted treatment of unstable pelvic fractures through a percutaneous iliac lumbar double rod fixation combined with a percutaneous pelvic anterior ring INFIX (internal fixator) fixation. Methods This was a retrospective analysis of 17 cases of unstable anterior and posterior pelvic ring fractures treated between April 2016 and October 2018 by the third Ti-robot system produced in China. The posterior ring was supported with an iliac lumbar double rod fixation and the anterior ring with an INFIX fixation. Operation time and peri-operative bleeding were recorded. The reduction of pelvic fracture displacement was evaluated by Matta score, the post-operative results were evaluated according to Majeed score, and the complications were recorded. Results Twelve males and five females, aged 21–71 years (mean 40.1 ± 3.8 years) were followed up for three to 12 months, (median 6.7 months). Tile typing showed seven B1 type, two B2 type, and eight C1 type cases. Operation time was 90–160 minutes (mean 112.9 ± 16.8 minutes), bleeding was 80–150 mL (mean 105.9 ± 20.6 mL). X-ray three to five  days after operation was evaluated by Matta score as excellent in 15 and good in two cases. Majeed score at last follow-up was 85–98 points, excellent in 17 cases. Two cases of lower extremity deep vein thrombosis received an inferior vena cava filter. The filters were removed after two  weeks. One case showed incision fat liquefaction healing and the wound healed three  weeks after surgery. Conclusion Orthopedic robot-assisted treatment of unstable pelvic fractures by a percutaneous iliac lumbar double rod fixation and a percutaneous pelvic anterior ring INFIX fixator was minimally invasive and feasible. A prospective study is needed.

Injuries of the pelvis and hip in children

2011 ◽  
Author(s):  
Jon D. Hop ◽  
J.L. Marsh
Keyword(s):  
Avascular Necrosis ◽  
High Mortality ◽  
Major Trauma ◽  
Pelvic Ring ◽  
Pelvic Fractures ◽  
The Body ◽  
Significant Problem ◽  
Intertrochanteric Fractures ◽  
Cervical Fractures ◽  
Single Breaks

♦ Displaced cervical fractures must be reduced and then fixed with lag screws♦ Avascular necrosis remains a significant problem♦ Intertrochanteric fractures may be treated closed with traction if an adequate reduction can be obtained and held♦ Dislocated hips should be reduced as soon as possible, open if necessary♦ Pelvic fractures are associated with a high mortality not so much from bleeding from pelvic veins as from accompanying major trauma to the rest of the body♦ The elasticity of children’s bones allows for single breaks in the pelvic ring.

Pelvic fractures: experience of pelvic ring fractures at a major trauma centre

2019 ◽  
Vol 74 (8) ◽  
pp. 649.e19-649.e26 ◽  
Author(s):  
S.E.T. Leach ◽  
V. Skiadas ◽  
C.E. Lord ◽  
N. Purohit
Keyword(s):  
Major Trauma ◽  
Pelvic Ring ◽  
Trauma Centre ◽  
Pelvic Fractures ◽  
Pelvic Ring Fractures ◽  
Major Trauma Centre

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

Gender Bias in Pelvic Fractures: A Geometrical and Structural Assessment

2009 ◽  
Author(s):  
Esra Roan ◽  
Haden A. Janda ◽  
Egleide Y. Elenes ◽  
Ruxandra C. Marinescu
Keyword(s):  
Motor Vehicle ◽  
Pelvic Ring ◽  
Significant Risk ◽  
Female Gender ◽  
Significant Risk Factor ◽  
Pelvic Fractures ◽  
Pelvic Ring Fractures ◽  
Army Medical Research ◽  
Musculoskeletal Trauma ◽  
Fracture Susceptibility

Pelvic fractures are complex, devastating fractures in musculoskeletal trauma that account for approximately 3% of all skeletal injuries, and unfortunately, still constitute a major cause of death and disability [1, 2]. Approximately 64% of all pelvic fractures are due to motor vehicle crashes (MVC). Rowe et al. (2004) identified female gender as a significant risk factor for pelvic ring fractures resulting from MVC. Women are three times more likely than males to have a pelvic fracture due to MVC [3, 4, 5]. Body mass index (BMI) and height differences have not been recognized as risk factors and it is presumed that a possible cause of increased fracture susceptibility in women could be the geometric differences between female and male pelvises [3]. Furthermore, according to Army Medical Research, female recruits have a higher incidence of pelvis (pubis) fractures due to overuse injuries than their male counterparts [3–7].

Pelvic ring fractures: assessment, associated injuries, and acute management

2011 ◽  
Author(s):  
John McMaster
Keyword(s):  
Soft Tissue ◽  
Pelvic Ring ◽  
Fracture Pattern ◽  
Pelvic Fractures ◽  
Acute Management ◽  
Associated Injuries ◽  
Successful Management ◽  
Pelvic Ring Fractures ◽  
Advance Planning

♦ The contribution of the soft tissue and bone in each fracture pattern must be understood♦ A large proportion of pelvic fractures will have significant associated injuries♦ Successful management of haemodynamically unstable pelvic fractures requires advance planning.

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.

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