Early Definitive Stabilization of Unstable Pelvis and Acetabulum Fractures Reduces Morbidity

Abstract

Early fixation of unstable pelvis and acetabular fractures in multiply injured patients reduces morbidity and length of intensive care unit stay, which may decrease treatment costs. Further study to ascertain the effects of associated systemic injuries and the utility of physiologic and laboratory parameters during resuscitation may delineate recommendations for optimal surgical timing in specific patient groups.

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

“…Unstable pelvic fractures create a burden of injury to the patient [54]. To reduce this burden, reduction and stabilization are considered resuscitative measures [43] and fixation of unstable LC fractures has been advocated.…”

Percutaneous fixation of acetabular fractures: computer-assisted determination of safe zones, angles and lengths for screw insertion

“…Controversy exists regarding the optimal treatment for these fractures in older and obese patients. Various treatment options have been described including nonoperative management, open reduction and internal fixations using plates and screws, minimally invasive stabilization and acute total hip arthroplasty [3][4][5][6][7]. Early minimally invasive definitive stabilization of selected acetabular fractures is an attractive alternative to major open procedures, especially in the elderly patients who have multiple co-morbidities and a higher perioperative risk [4].…”

Factors Affecting Revenue From the Management of Pelvis and Acetabulum Fractures

“…Between 75% and 85% of patients with these fractures will have injury to other systems, underscoring the necessity for a well-experienced team of related trauma providers. [17][18][19][20] Trauma centers have the expectations of continuous reassessment and improvement along with the operational and financial challenges of maintaining highly specialized services with frequently erratic and unconventional workflows-all of which greatly increase their costs.…”