Pelvic disruption: assessment and classification

Pennal, George F.; Tile, Marvin; Waddell, J. Aubrey

doi:10.1055/s-2008-1038277

Cited by 86 publications

(126 citation statements)

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“…Lateral compressive forces cause the greatest number of pelvic ring disruptions [39,50]. These injuries are often related to high-energy trauma and lateral compression fractures [3] are often caused by motor vehicle accidents [20].…”

Section: Introductionmentioning

confidence: 99%

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

Hoffmann¹,

Jones

Sietsema

2012

Clinical Orthopaedics &Amp; Related Research

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Background Recently, fixation of lateral compression (LC) pelvic fractures has been advocated to improve patient comfort and to allow earlier mobilization without loss of reduction, thus minimizing adverse systemic effects. However, the degree of acceptable deformity and persistence of disability are unclear. Questions/purposes We determined if (1) injury pattern; (2) demographics; (3) final posterior displacement; (4) L5/ S1 involvement; (5) associated injuries; and (6) time influence outcome measurements, sexual dysfunction, and pain.

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Section: Introductionmentioning

confidence: 99%

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

Hoffmann¹,

Jones

Sietsema

2012

Clinical Orthopaedics &Amp; Related Research

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“…13 Mortality rates are markedly dependent on the achievement of hemodynamic stability -there have been many attempts to develop a treatment that could rapidly reduce and stabilize the disrupted pelvic ring. 6,14 Even though a wide array of external devices is available (most common brands are: Pelvic Binder 1 , T-POD 1 and SAM Sling 1 ), the provisory use of a compressive sheet, when correctly placed, is reported as being enough to maintain fracture stability until a definitive fixation is achieved. However, until now there was no cadaveric study report clearly demonstrating the success of these maneuvers.…”

Section: Discussionmentioning

confidence: 99%

The importance of pelvic ring stabilization as a life-saving measure in pre-hospital – A case report commented by autopsy

Durão

Alves

Barros

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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Keywords:Unstable pelvic ring Open book pelvic fracture Hemorrhagic shock A B S T R A C T Hip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures.

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“…Fractures of the pelvic ring have been reported to comprise 2% to 8% of all skeletal injuries and are often associated with high-energy trauma, most commonly, motor vehicle accidents and falls from a height (Pennal et al, 1979;Burgess et al, 1990). Studies have shown that vehicular accident such as vehicles crashing into pedestrians, passengers being thrown out of moving vehicles, causes about 60% of pelvic fractures (Inaba et al, 2004;McCormack et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Management of severe pelvic injury following road traffic accident in a resource-limited setting

Kuubiere¹,

Alhassan²,

Majeed³

2013

J. Med. Biomed. Sci.

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A 34 year old woman involved in road traffic accident with severe anterior and posterior pelvic fractures with associated soft tissue injury was referred from Wa Regional Hospital 18 hours after the accident to Tania Specialist Hospital in Tamale. Emergency resuscitative measures such as catheterization and management of pain with analgesics were initiated. Computed topography (CT scan) or Magnetic resonance imaging has been recommended as the appropriate tools for risk assessment in such cases however none of this was available at the time of the accident. The only assessment tool available was the C-arm machine which was used to X-ray the pelvis in the following plane; anterio -posterior pelvic -inlet and pelvic -outlet. Early internal reduction and stabilization of pelvis was immediately carried out using the procedure of open reduction and internal fixation (ORIF). Approximately 2 weeks after the operation, radiographs showed signs of healing and the patient was discharged on partial body weight bearing. Upon second review 12 weeks post operatively, complete recovery was accomplished. (2013) 2(3) Journal of Medical and Biomedical Sciences INTRODUCTIONPelvic fractures are severe injuries associated with varied morbidities. Mortality rates range from 10% to 50% depending on the severity of pelvic fracture, bleeding and the presence of associated injuries to the brain, thorax and abdomen (Tile, 1988;Dalal et al., 1989;Gonzalez et al., 2002).

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Pelvic disruption: assessment and classification

Cited by 86 publications

References 0 publications

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

Persistent Impairment After Surgically Treated Lateral Compression Pelvic Injury

The importance of pelvic ring stabilization as a life-saving measure in pre-hospital – A case report commented by autopsy

Management of severe pelvic injury following road traffic accident in a resource-limited setting

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