Pelvic-abdominal injuries caused by goring are serious lesions which require rapid diagnosis and urgent treatment in the context of a polytraumatized patient. The simultaneous rupture of both the bladder and the prostatic-membranous urethra occurs in 10%-29% of males with pelvic fractures but bladder neck injuries in adults are rarer. Unstable pelvic fractures, bilateral fractures of the ischio...

BACKGROUND This study was performed to evaluate functional and radiological results of pelvic ring fractures treatment by open reduction and internal fixation. METHODS Thirty eight patients with unstable pelvic fractures, treated from 2002 to 2008 were retrospectively reviewed. The mean patients' age was 37 years (range 20 to 67). Twenty six patients were men (4 patients with type B and 22 pa...

BACKGROUND Pelvic fractures, often the result of high energy blunt trauma, are associated with severe morbidity and mortality. A new pelvic stabilizer (T-POD®) provides secure and effective simultaneous circumferential compression of the pelvis. METHODS In this study we describe 15 patients with a prehospital untreated unstable pelvic fracture with signs of hypovolaemic shock with the T-POD®....

PURPOSE The most common life-threatening complication of pelvic trauma is bleeding. Arterial bleedings frequently require active management, preferably with transcatheter arterial embolization (TAE). Hemodynamic instability and/or contrast extravasation at computer tomography (CT) examination are reliable indicators of arterial injury. Unstable pelvic fractures are much more hemorrhagic than st...

OBJECTIVES To determine the efficacy and optimal application parameters of circumferential compression to reduce external rotation-type pelvic fractures. DESIGN Biomechanical investigation on human cadaveric specimens. SETTING Biomechanics laboratory. INTERVENTION Partially stable and unstable external rotation injuries of the pelvic ring (OTA classification 61-B1 and 61-C1) were created ...

Haemodynamically unstable patients with pelvic fractures present a difficult management problem in accident and emergency (A&E) departments. There have been many reports supporting various treatment methods, though no prospective controlled trials of these different approaches have been undertaken. In this paper we shall review the evidence for the available treatment options and make recommend...

Internal fi xation of the posterior ring in unstable pelvic fractures was introduced in the late 1980’s (1–3). On the other hand, indications of internal fi xation of the anterior ring have been variable and more conservative recommendations have been given (4–6). However, biomechanical studies have shown that best stability can be achieved by internal fi xation of both the posterior and the an...

BACKGROUND Patients with severe pelvic fractures represent about 3% of all skeletal fractures. Hemodynamic compromise in unstable pelvic fractures is associated with arterial hemorrhage in less than 20% of patients. Angiography is an important tool in the management of severe pelvic injury, but indications and timing for its performance remain controversial. METHODS Patients with major pelvic...

BACKGROUND An alternative to embolization or external pelvic fixation (EPF) in patients with multiple pelvic fractures and hemorrhage is a pelvic orthotic device (POD), which may easily be placed in the resuscitation area. Little published information is available about its effectiveness. This study evaluated the efficacy of the POD compared with EPF in patients with life-threatening pelvic fra...