Open Pelvic Fracture

Improvised explosive device related pelvi-perineal trauma

“…There were no significant differences in mortality for those undergoing fecal diversion; however, of those who did not undergo diversion, there was a significant increase in mortality (p G 0.001, 3 [8%] of 39 patients of perineal injury group vs. 16 [67%] of 24 patients of pelvic fracture group). Pelvic fractures occurred in 62 patients (53%), of which 9 (14%) had an external fixator applied.…”

“…12,18Y25 Even for early survivors, the addition of a contaminated perineal wound or rectal injury can lead to sepsis and significantly increase morbidity and mortality; therefore, early antibiotic administration is important in the management of these patients. 10,12,13,16,18,20,21,26Y28 Some treatment principles are well established. Battle wounds of the rectum were known historically to be associated with a high mortality and morbidity.…”

Use of the initial trauma CT scan to aid in diagnosis of open pelvic fractures

“…Unfortunately, mortality rates as high as 50% have been reported for open pelvic ring trauma [10][11][12][13][14]. Improved initial management and resuscitation has led to a decrease in their mortality [1,2,[15][16][17].…”

Does Colostomy Prevent Infection in Open Blunt Pelvic Fractures? A Systematic Review

“…9 -15 In addition, some authors mixed blunt and penetrating trauma. 8,12,13,15 These papers were excluded.…”