The Hannover Experience in Management of Pelvic Fractures

Pohlemann, Tim; Bösch, U.; Gänsslen, Axel; Tscherne, H.

doi:10.1097/00003086-199408000-00010

Cited by 269 publications

(137 citation statements)

References 0 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…Later, it became clear that an external frame applied anteriorly could not restore enough stability to an unstable (type-C) disruption of the pelvic ring to allow mobilization of the patient without risking redisplacement of the fracture (Mears and Fu 1980, Wild et al 1982, Kellam 1989, Tile 1995, Lindahl et al 1999). Thus, methods of open reduction and internal fixation (ORIF) were introduced (Goldstein et al 1986, Kellam et al 1987, Ward et al 1987, Tile 1988, Matta and Saucedo 1989, Pohlemann et al 1994). More recently, closed reduction and percutaneous screw fixation techniques have been developed (Ebraheim et al 1987, Routt et al 1995, Routt and Simonian 1996a.…”

mentioning

confidence: 99%

Outcome of operatively treated type-C injuries of the pelvic ring

2005

View full text Add to dashboard Cite

Background Internal fixation has become the preferred treatment for type-C pelvic ring injuries, but controversies persist regarding surgical approach and surgical technique.Patients We evaluated 101 consecutive patients with type C1-C3 pelvic ring injuries who had been treated with standardized reduction and internal fixation techniques.Results Our findings suggest a correlation between excellent reduction followed by sufficient fixation of the pelvic ring and functional outcome. Unsatisfactory reduction (displacement > 5 mm), failure of fixation, loss of reduction and a permanent lumbosacral plexus injury were the commonest reasons for an unsatisfactory functional result. All 40 patients with an associated lumbosacral plexus injury showed at least some evidence of neurological recovery. 14 underwent complete neurologic recovery. 8 had only sensory deficits and the remaining 18 also had motor deficits at the final followup. Complications were rare, but some of them were severe: loss of reduction in 8%, malunion in 10%, deep wound infection in 2%, and a lesion of the L5 nerve root in 1%.Interpretation Our results suggest that special attention should be paid to preoperative planning, reduction of the fracture, decompression of the nerve roots, and fixation of the most severe sacral fractures. Our results seem to favor internal fixation of displaced (> 10 mm) and unstable rami fractures and symphyseal disruptions in conjunction with posterior fixation, to achieve better stability of the whole pelvic ring.

show abstract

mentioning

confidence: 99%

Outcome of operatively treated type-C injuries of the pelvic ring

2005

View full text Add to dashboard Cite

show abstract

“…In the management of pelvic fracture, Pohlemann et al (1994) advocates stabilization of the sacro-iliac joint with ORIF (plates and/or screws). However this patient recuperated very well without the posterior pelvic ORIF.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options have increased from simple pelvic slings and postural reduction to more complex internal and external fixations (Pohlemann et al, 1994). Early effective management of severe pelvic trauma with modern medical devices such as CT-scan and MRI and techniques contributes significantly to survival to these patients (Ghanayem et al, 1995;Durkin et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

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

Kuubiere¹,

Alhassan²,

Majeed³

2013

J. Med. Biomed. Sci.

View full text Add to dashboard Cite

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).

show abstract

“…The emphasis on early control of hemorrhage via packing to facilitate resuscitation, assessment, and treatment of associated injuries was embraced in European centers. They reported excellent results with effective control of hemorrhage [20,23,26]. By using a modified technique [24•], using a preperitoneal approach, rather than transabdominal pelvic packing, we reported decreased transfusion requirements and decreased mortality in this seriously injured patient cohort [6••].…”

Section: Introductionmentioning

confidence: 99%

Preperitoneal Pelvic Packing: How and When

Glass

Burlew

2014

Curr Trauma Rep

View full text Add to dashboard Cite

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.

show abstract

The Hannover Experience in Management of Pelvic Fractures

Cited by 269 publications

References 0 publications

Outcome of operatively treated type-C injuries of the pelvic ring

Outcome of operatively treated type-C injuries of the pelvic ring

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

Preperitoneal Pelvic Packing: How and When

Contact Info

Product

Resources

About