PURPOSE To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic fractures were reviewed. The survival rates before and after implementation o...

BACKGROUND This paper is a retrospective analysis of the treatment of pelvic fractures in children and adolescents who sustained polytrauma and high-energy injuries. Incidence varies from 0.2% to 7.5% of all pediatric injuries. Most often, these are isolated stable fractures that do not require hospitalization. However, a group of unstable fractures requiring surgical intervention remains. MA...

Unstable pelvic ring disruptions are frequently associated with hemodynamic instability. Although the source of hemorrhage can be from multiple sites, the severity and type of pelvic disruption strongly correlates with retroperitoneal blood loss. Pelvic stabilization in the early posttraumatic phase is reported to provide an effective means of controlling this retroperitoneal hemorrhage. Pelvic...

OBJECTIVES To present the outcomes from definitive surgical treatment for unstable fractures of the pelvic ring in children undergoing surgical reduction and stabilization. METHODS We studied 10 patients with immature skeletons who suffered unstable fractures of the pelvic ring and were treated between March 2004 and January 2008. The study was retrospective, based on clinical and radiographi...

In the management of a pelvic fracture prompt recognition of an unstable fracture pattern is important in reducing mortality and morbidity. It is believed that a fracture of the transverse process of L5 is a predictor of pelvic fracture instability. However, there is little evidence in the literature to support this view. The aim of this study was to determine whether a fracture of the transver...

BACKGROUND Treatment of unstable pelvic fractures in children is a serious surgical problem. Despite similarities between the epidemiology, diagnosis and treatment of pelvic fractures in children and adults, this article attempts to demonstrate age-specific differences in patient management. MATERIAL AND METHODS In a group of 46 children with pelvic fractures hospitalized in the years 2001-20...

Unstable pelvic ring disruptions result from high energy trauma and often are associated with multiple concomitant injuries (1–3). Hemorrhage, head injury, pelvic soft tissue trauma (open fractures), and primary system complications are responsible for high mortality rates (4–6). If the patient is hemodynamically unstable the primary goals are to control airways, to establish adequate ventilati...