The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Patients underwent treatment via the advanced trauma life support protocol, with ...

Unstable pelvic ring injuries are potentially life-threatening and associated with high mortality complication rates in polytrauma patients. The most common cause of death patients is massive bleeding. With resuscitation, external fixation can be performed as a temporary stabilization procedure for hemostasis unstable fractures. Internal following the yields superior more reliable stabilization...

Objective: To investigate the clinical effectiveness of minimally invasive subcutaneous pedicle screw and rod system in treatment of anterior pelvic ring injury. Methods: Altogether, 28 patients (17 men, 11 women; average age 39.8 years, range 19-68 years) with pelvic ring fractures were treated using a subcutaneous internal anterior fixation device composed of supra-acetabular spinal pedicle s...

INTRODUCTION Data on prehospital and trauma-room fluid management of multiple trauma patients with pelvic disruptions are rarely reported. Present trauma algorithms recommend early hemorrhage control and massive fluid resuscitation. By matching the German Pelvic Injury Register (PIR) with the TraumaRegister DGU (TR) for the first time, we attempt to assess the initial fluid management for diffe...

Soft tissue injuries associated with pelvic fractures are often responsible for compromised haemodynamics. The objective of this study was to clarify what parameters determine patient outcome. In a cohort study, all patients with a pelvic fracture treated between 1991 and 2001 at a Level I trauma center were analysed for associated intrapelvic injuries, classification, severity of trauma, type ...

OBJECTIVE To determine the features of earthquake-related pelvic crush fractures versus non-earthquake fractures with digital radiography and multidetector row computed tomography. METHODS One hundred and sixty-seven survivors with pelvic crush fractures in the 2008 Sichuan earthquake were entered in our study as the earthquake-related group (139 underwent digital radiography, 28 underwent mu...

A retrospective study of all patients (N = 343) with pelvic fractures admitted to our trauma service was conducted to evaluate the impact of pelvic fractures on mortality. All patients sustained additional injuries with an average Injury Severity Score (ISS) of twenty. Thirty-six patients died. This group had more severe pelvic fractures as graded by the Tile classification as well as a greater...