BACKGROUND Pelvic fractures are severe injuries with frequently associated multi-system trauma and a high mortality rate. The value of the pelvic fracture pattern for predicting transfusion requirements and mortality is not entirely clear. To address hemorrhage from pelvic injuries, the early application of pelvic binders is now recommended and arterial angio-embolization is widely used for con...

© 2014 American Osteopathic Association A56-year-old man in hemorrhagic shock after being crushed at an industrial worksite had an open pelvic fracture involving the right sacrum and an unstable right hemipelvis (image A) as well as bilateral tibial fractures, a right femur fracture, and a nearly circumferential rectal laceration. The patient was placed in a pelvic binder and given cefazolin an...

PURPOSE To evaluate postoperative walking status of elderly patients with osteoporotic pubic rami fractures with or without posterior pelvic ring fractures. METHODS 33 women and 4 men aged 66 to 95 (mean, 85) years presented with osteoporotic pubic rami fractures after a fall. 22 (59%) of the patients had additional posterior pelvic ring fractures (9 had lateral compression type-II fractures ...

Objectives: To provide the anatomical basis via the anterior pelvis surgical approach to treat pelvic and acetabulum fracture. Methods: (1) Ten formalized cadavers were dissected, observed within the hypogastric region and pelvic anatomical position and variation. (2) On the basis of anatomical study, 20 patients with unstable pelvic fractures and 15 patients with acetabulum fracture were perfo...

In a series of 150 consecutive patients with unstable fractures of the pelvis, angiography was performed in 23 (15%) who had uncontrolled hypotension. There were three anteroposterior compression (APC), eight lateral compression (LC) and 12 vertical shear (VS) injuries. Arterial sources of haemorrhage were identified in 18 (78%) patients and embolisation was performed. Angiography was required ...

introduction: significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. open pelvic fractures (with perineal injury) are associated with higher mortality rates of 40 to 60 %. methods: this study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (shahid kamyab hospital in mashh...

Unstable pelvic fractures very frequently occur with haemorrhage, not only from the broken pelvis but from the presacral venous plexus and/or iliac arterial or venous branches which may cause hypotension and increases the mortality rate. Very often this type of injury is concurrent with injuries in other organ systems. The compounded nature of these injuries makes it necessary for doctors who m...

part of the body to the innominate bones. The sacrum also conducts the sacral nerve roots to the pelvic organs. Each innominate bone is a fusion of the ilium, ischium, and pubic bones. The intersection of the fusion forms the acetabulum, which articulates with the femur. Posteriorly, the innominate bones are anchored to the sacrum by the anterior and posterior iliac ligaments, two of the body’s...

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OBJECTIVE The aim of this study is to evaluate the efficacy and feasibility of three-dimensional printing (3D printing) assisted internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach. METHODS A total of 38 patients with unstable pelvic fractures were analyzed retrospectively from August 2012 to February 2014. All cases were treated operatively with...