The management of traumatic disruption of the pelvic ring has become a focus of interest, the main question being whether such disruptions should be stabilised at operation. Stabilisation may be important for the survival of the patient, as has been suggested for femoral fractures, and it may also be desirable to improve the long-term functional results of such injuries. It is therefore necessa...

BACKGROUND Open pelvic fractures are rare but usually associated with a high incidence of complications and increased mortality rates. The aim of this study was to retrospectively evaluate all consecutive open pelvic fractures in patients treated at a single Level-1 Trauma Center during a 10-year interval. PATIENTS AND METHODS In a 10-year interval, 30 patients with a diagnosis of open pelvic...

Traumatic hernia of the abdominal wall is a rare and easily missed injury in the presence of major pelvic and abdominal lesions. We present a radiographically documented case of combined pelvic and acetabular fracture with a major contralateral traumatic hernia with avulsion of the internal oblique, the external oblique and the transverse abdominal muscles diagnosed four months after the initia...

BACKGROUND Non-compressible torso hemorrhage (NCTH) is the leading cause of potentially preventable death in military trauma, but the civilian epidemiology is unknown. The aim of this study is to apply a military definition of NCTH, which incorporates anatomic and physiological criteria, to a civilian population treated at trauma centers in the US. METHODS Patients (age >16 y) from 197 Level ...

OBJECTIVES To identify injuries that elderly sustain during high-energy trauma and determine which are associated with mortality. DESIGN Retrospective review of prospectively collected database. SETTING Academic trauma center. PATIENTS Patients selected from database of all trauma admissions from January 2004 through June 2009. Study population consisted of patients directly admitted from...

BACKGROUND Catheter angiography is often arranged when vascular contrast extravasations on computed tomography (VCEC) presents after blunt torso trauma. However, catheter angiograph can be negative for bleeding and further management about this condition is not well discussed. The purpose of this study was a review of our experience of this discrepancy and to propose management principle. MET...