Hemipelvectomy, a Lifesaving Operation in Severe Open Pelvic Injury in Childhood

Lipkowitz, George S.; Phillips, Thomas F.; Coren, Charles; Spero, Charles R.; Glassberg, Kenneth I.; Tolete-Velcek, F.

doi:10.1097/00005373-198509000-00002

Cited by 32 publications

(34 citation statements)

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“…Most of the cases described, as well as our own patient group, showed a severe shock at arrival [10,12,15,16,21]. The survivors, almost < 30 years, were healthy individuals able to tolerate massive hemorrhage and soft-tissue destruction [16,22,23].…”

Section: Discussionmentioning

confidence: 86%

“…Direct avulsion of the limb after entanglement in heavy machinery is the next most common mechanism of injury [3,15]. Complete avulsion of the hindquarter amounts to about 50% of cases [10,16]. Other author describes an incidence of 32%, whereas 68% of the limbs remained connected by means of a soft-tissue bridge [11].…”

Section: Discussionmentioning

confidence: 99%

“…The survivors, almost < 30 years, were healthy individuals able to tolerate massive hemorrhage and soft-tissue destruction [16,22,23]. Patients with complete hemipelvectomy seem to have a better chance of survival than patients with partial hemipelvectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Contralateral leg loss after PASG-associated compartment syndrome has been reported [10,29]. On arrival at the hospital, a vigorous resuscitation and expeditious evaluation of the injuries should take place simultaneously [12,16] but an exploration of the wound before the operation should be avoided [12,15,16,24,27,30]. An early laparotomy as a damage control procedure is usually necessary for clamping the abdominal aorta to achieve a hemostasis before the particular injured vessels can be managed individually [18,31].…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Hemipelvectomy

Labler

Trentz²,

Keel

2005

Eur J Trauma

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Traumatic Hemipelvectomy

Labler

Trentz²,

Keel

2005

Eur J Trauma

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“…There are case reports that in the most severely injured cases hemipelvectomy can be life-saving [19,21].…”

Section: Childrenmentioning

confidence: 99%

Is it Possible to Classify Open Fractures of the Pelvis?

Bircher¹,

Hargrove²

2004

European Journal of Trauma

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Open fractures of the pelvis are rare and potentially lethal injuries. This paper seeks to clarify the relationship between the complex bony and soft tissue injuries. It provides a new classification, which hopes to aid in these difficult management decisions in a group of seriously injured patients. Open pelvic injuries are classified into three groups, A, B, and C. Each of these groups is further subdivided into three subgroups. The importance of the soft tissue injury is emphasized, as it has a major influence mortality.

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Fractures of the Pelvis

Tile¹

The Rationale of Operative Fracture Care

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Pelvis 12.2 Understanding the Injury 12 Fractures of the Pelvis M. Tile 12.1 Ring Structure of the PelvisThe pelvis is a true ring structure. It is self-evident that if the ring is broken in one area and displaced, then there must be a fracture or dislocation in another portion of the ring. Thus the vast literature describing anterior or posterior pelvic fractures suggesting that they appear in isolation is misleading. Gertzbein and Chenoweth (1977), in a series of patients with undisplaced anterior pelvic fractures, noted that a technetium polyphosphate bone scan of the posterior sacroiliac complex gave a positive reading in every case, indicating the definite presence of a posterior lesion (Fig. 12.2). This was further

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Hemipelvectomy, a Lifesaving Operation in Severe Open Pelvic Injury in Childhood

Cited by 32 publications

References 0 publications

Traumatic Hemipelvectomy

Traumatic Hemipelvectomy

Is it Possible to Classify Open Fractures of the Pelvis?

Fractures of the Pelvis

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