Introduction to pelvic injury and its acute management

Saxena, Purnendu; Sakale, Harshal; Agrawal, Alok

doi:10.4103/0975-7341.133995

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…Otherwise, a posterior C-clamp is indicated in "vertical shear" injuries with sacroiliac joint disruptions for hemorrhage control, but malposition and pin migration are a real concern [22,23]. Absolute contraindications are posterior iliac wing fractures, while relative contraindications are comminuted sacral fractures (in the case of strong compression, a C-clamp may cause lesions of sacral nerve roots) [24,25].…”

Section: Treatmentmentioning

confidence: 99%

Management of Pelvic Trauma Orthopedic Management of Pelvic Trauma

De Luca,

Maurizio,

Branca Vergano

2024

JEVTM

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Patients with a suspected pelvic fracture should be managed according to the principles of Advanced Trauma Life Support. The mechanism of trauma determines the pattern of pelvic lesions and the likelihood of associated injuries. The most common classification to describe pelvic lesions is the Young–Burgess system. This classification describes the radiographic images by analyzing the mechanism of injury that leads to predictable patterns of injury and displacement. It is useful in describing injuries and in helping guide both initial treatment and definitive fixation. The initial treatment in case of pelvic lesion is the application of a pelvic binder. An external fixator is recommended in hemodynamically unstable patients with unstable pelvic lesions to prevent further bleeding and to support measures of hemorrhage control. Definitive treatment of pelvic ring lesions requires anterior stabilization or a posterior fixation, or both, depending on the type of injury.

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Section: Treatmentmentioning

confidence: 99%

Management of Pelvic Trauma Orthopedic Management of Pelvic Trauma

De Luca,

Maurizio,

Branca Vergano

2024

JEVTM

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“…Initial management and investigations. As with all trauma patients, initial management of patients with pelvic fractures follows the general Advanced Trauma Life Support (ATLS) principles of ABCDE: Airway, Breathing, Circulation, Disability and Exposure (Saxena et al 2014). Patients suspected of having an isolated pelvic fracture should be transferred to the nearest general hospital, whereas haemodynamically unstable or polytrauma patients should be transferred directly to a Major Trauma Centre (MTC) if possible or once resuscitated at a trauma unit (BOA 2018, NICE 2016a).…”

Section: Preoperative Considerationsmentioning

confidence: 99%

An overview of the key principles and guidelines in the management of pelvic fractures

Mostafa

Kyriacou

Chimutengwende-Gordon

et al. 2020

Journal of Perioperative Practice

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Pelvic fractures are complex injuries with a range of different presentations depending on the mechanism of trauma. Due to the morbidity and mortality of pelvic fractures, patients require thorough investigation and timely management with multidisciplinary input. Various surgical and non-surgical techniques can be used to treat pelvic fractures, as well as any associated visceral injuries. Following repair, it is important to remain vigilant for postoperative complications such as infection, sexual and urinary dysfunction, chronic pain and adverse psychological health. This article summarises the relevant UK guidance and literature and presents them in a format that follows the patient’s journey. In doing so, it highlights the key perioperative factors that need to be considered in cases of pelvic fracture.

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O-arm navigation for sacroiliac screw placement in the treatment for posterior pelvic ring injury

Yang

et al. 2021

International Orthopaedics (SICOT)

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Introduction to pelvic injury and its acute management

Cited by 4 publications

References 24 publications

Management of Pelvic Trauma Orthopedic Management of Pelvic Trauma

Management of Pelvic Trauma Orthopedic Management of Pelvic Trauma

An overview of the key principles and guidelines in the management of pelvic fractures

O-arm navigation for sacroiliac screw placement in the treatment for posterior pelvic ring injury

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