Epidemiology of pelvic ring injuries

Gänsslen, Axel; Pohlemann, Tim; Paul, Ch.; Lobenhoffer, P.; Tscherne, H.

doi:10.1016/s0020-1383(96)90106-0

Cited by 228 publications

(132 citation statements)

References 22 publications

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“…Our pelvic fracture patient population had an overall mortality of 13.8%, similar to previously published mortality rates of 14.2% and 13.4%. [1,3,5]. The higher mortality rate observed in patients treated with an angiographic procedure is probably the result of increased injury severity seen in this population.…”

Section: Discussionmentioning

confidence: 93%

Acute Complications of Patients With Pelvic Fractures After Pelvic Angiographic Embolization

Matityahu¹,

Marmor²,

Elson³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Hemodynamically unstable patients with a pelvic fracture and arterial pelvic bleeding frequently are treated with pelvic angiographic embolization (PAE). PAE is reported to be a safe and effective method of controlling hemorrhage. However, the loss of blood supply and subsequent ischemia from embolization may lead to adverse consequences. Objectives/purposes We sought to determine (1) the frequency and types of complications observed after PAE;(2) the mortality after PAE; and (3) the clinical factors associated with complications and mortality after PAE. Methods We conducted a retrospective case series descriptive study at a Level I trauma center. Using our institution's trauma registry, we isolated patients with pelvic fractures treated with PAE admitted between June 1999 and December 2007. Complications attributed to PAE occurring in the initial hospital stay were recorded. We identified 98 patients with pelvic fractures treated by PAE with an average hospital stay of 25.3 days. Results The complication rate was 11% and included six patients with gluteal muscle necrosis (6%), five with surgical wound breakdown (5%), four deep infections (4%), one superficial infection, two patients with of impotence (2%), and one with bladder necrosis. The mortality rate in the PAE group reached 20%. Bilateral embolization was performed in 100% of the patients with complications.

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Section: Discussionmentioning

confidence: 93%

Acute Complications of Patients With Pelvic Fractures After Pelvic Angiographic Embolization

Matityahu¹,

Marmor²,

Elson³

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Their complications included one wound infection, one loosening of a pedicle screw, and seven (36.8%) transient LFCN palsies. The LFCN palsy likely occurred during placement or removal of hardware in the supraacetabular region where the nerve is at greater risk for injury [4,5,9]. Two studies from the United States using the same technique as Kuttner et al [13] were recently published using spinal rods and pedicle screws placed in the anterior inferior iliac spines (AIIS) [6,31].…”

Section: Discussionmentioning

confidence: 99%

“…Both reported two patients with neuropraxias and complications with the subcutaneous fixator causing discomfort at the abdominal crease. The placement of pedicle screws at the AIIS requires incisions directly over the AIIS with pedicle screws placed in a high-risk zone for the LFCN [4,5,9,13].…”

Section: Discussionmentioning

confidence: 99%

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Surgical Technique: A Percutaneous Method of Subcutaneous Fixation for the Anterior Pelvic Ring: The Pelvic Bridge

Hiesterman

Hill

Cole

2012

Clinical Orthopaedics &Amp; Related Research

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Background Management of pelvic ring injuries using minimally invasive techniques may be desirable if reduction and stability can be achieved. We present a new technique, the anterior pelvic bridge, which is a percutaneous method of fixing the anterior pelvis through limited incisions over the iliac crest(s) and pubic symphysis. Description of Technique An incision is made over each anterior iliac crest and a 6-to 8-cm incision is centered over the symphysis. Either a locking reconstruction plate or a spinal rod is placed through a subcutaneous tunnel overlying the external oblique fascia in the subcutaneous tissue, and fixation into the iliac crest and pubis is achieved to effect stability. Methods A randomized controlled trial comparing anterior pelvic external fixation (APEF) versus anterior pelvic internal fixation (APIF) for unstable pelvic ring injuries was begun in October 2010. Patients with unstable pelvic ring injuries were enrolled and followed with respect to fracture reduction, surgical pain, complications, and functional outcome scores.

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“…These patients are more commonly men (60 %), with injury peaks in the young adult period (ages 15-30 years) and in elder adults (>55 years). The older patient population tends to have a worse outcome despite relatively stable pelvic fracture patterns [1,2,4]. A subset of 8-10 % of patients with pelvic fractures require blood transfusions [5, 6••].…”

Section: Introductionmentioning

confidence: 99%

Preperitoneal Pelvic Packing: How and When

Glass

Burlew

2014

Curr Trauma Rep

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Pelvic fractures can lead to life-threatening hemorrhage, particularly as they tend to occur in the setting of polytrauma. Several approaches to hemorrhage control have been employed in pelvic fracture patients over the years. This review describes the indications, operative technique, and outcomes for preperitoneal pelvic packing (PPP). Pelvic packing should be considered for every hemodynamically unstable patient with a significant pelvic fracture. We describe how this can be accomplished in coordination with other resuscitative efforts and operative needs.

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Epidemiology of pelvic ring injuries

Cited by 228 publications

References 22 publications

Acute Complications of Patients With Pelvic Fractures After Pelvic Angiographic Embolization

Acute Complications of Patients With Pelvic Fractures After Pelvic Angiographic Embolization

Surgical Technique: A Percutaneous Method of Subcutaneous Fixation for the Anterior Pelvic Ring: The Pelvic Bridge

Preperitoneal Pelvic Packing: How and When

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