Journal ArticleDOI
Mortality in patients with pelvic fractures: results from the German pelvic injury register.
Oliver Hauschild,Peter C. Strohm,Ulf Culemann,Tim Pohlemann,Norbert P. Suedkamp,Wolfgang Koestler,Hagen Schmal +6 more
TLDR
There are significant similarities between pediatric and adult patients with pelvic injuries and the mortality rate of children is not different from that of adults and the survival rate of patients sustaining pelvic fracture has improved significantly within the last decade.Abstract:
BACKGROUND: Pelvic and acetabular fractures are rare injuries and account for approximately 3% to 8% of all fractures. Often the result of high energy blunt trauma, most of the patients sustaining pelvic injuries are at high risk of associated injuries strongly influencing outcome and survival rates. Because of anatomic differences it has been suggested that pediatric pelvic fractures are different injuries as compared with that of adults. However, this has been controversially discussed. Aim of this multicenter register study was to identify similarities and differences between pediatric and adult pelvic trauma and evaluate the influence of changes in medical treatment by comparison of two treatment periods. METHODS: In this multicenter register study, data of 4,291 patients treated from 1991 to 1993 (n = 1,723) or 1998 to 2000 (n = 2,568) for pelvic fractures in one of the 23 participating hospitals were evaluated for age, gender, Injury Severity Score (ISS), Hannover Polytrauma Score (PTS), fracture type (using Tile's classification), peripelvic soft tissue injury, need for emergency measures, mortality, cause of death, and need for operative stabilization. We compared the patients' characteristics of the two treatment periods and pediatric with adult pelvic injuries. Statistical analysis was performed using SAS software. RESULTS: There was no difference in terms of ISS, PTS, and presence of peripelvic soft tissue injuries between the two observation periods. Mortality rate dropped significantly from 7.9% to 5% (p Language: enread more
Citations
More filters
Journal ArticleDOI
Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures
Thomas Martinelli,Frédéric Thony,P. Declety,Christian Sengel,Christophe Broux,Jérôme Tonetti,Jean François Payen,Gilbert Ferretti +7 more
TL;DR: This IABO procedure can be life saving in the management of patients with CUHS from PF, permitting transport to angiography, however, the decision for such treatment must be as quickly as possible after trauma to reduce the time of occlusion.
Journal ArticleDOI
Preperitoneal Pelvic Packing/External Fixation with Secondary Angioembolization: Optimal Care for Life-Threatening Hemorrhage from Unstable Pelvic Fractures
Clay Cothren Burlew,Ernest E. Moore,Wade R. Smith,Jeffrey L. Johnson,Walter L. Biffl,Carlton C. Barnett,Philip F. Stahel +6 more
TL;DR: PPP/EF was effective in controlling hemorrhage from unstable pelvic fractures and combined with other urgent operative interventions required in >85% of patients, combining these procedures for operative pelvic hemorrhage control appears to optimize patient care.
Journal ArticleDOI
Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures
Clay Cothren Burlew,Ernest E. Moore,Philip F. Stahel,Andrea E. Geddes,Amy E. Wagenaar,Fredric M. Pieracci,Charles J. Fox,Eric M. Campion,Jeffrey L. Johnson,Cyril Mauffrey +9 more
TL;DR: PPP results in a shorter time to intervention and lower mortality compared with modern series using AE, and should be used for pelvic fracture–related bleeding in the patient who remains unstable despite initial transfusion.
Journal ArticleDOI
Early Definitive Stabilization of Unstable Pelvis and Acetabulum Fractures Reduces Morbidity
TL;DR: Early fixation of unstable pelvis and acetabular fractures in multiply injured patients reduces morbidity and length of intensive care unit stay, which may decrease treatment costs.
Journal ArticleDOI
What are Predictors of Mortality in Patients with Pelvic Fractures
TL;DR: Patients with pelvic fractures who did not survive were characterized by male gender, severe multiple trauma, and major hemorrhage.
References
More filters
BookDOI
Manual of internal fixation
TL;DR: Manual ofinternal fixation , Manual of internal fixation , کتابخانه دیجیتال جندی شاپور اهواز
Journal ArticleDOI
Epidemiology of pelvic ring injuries
TL;DR: Patients with pelvic and acetabular fractures were assessed using a standardized documentation form by collating the data on patients treated at the Department of Traumatology of the Hannover Medical School together with those patients treated between 1991 and 1993 in the German Multicentre Study Group (Pelvis).
Journal ArticleDOI
Open pelvic fractures: epidemiology, current concepts of management and outcome.
M. Grotz,M.K. Allami,M.K. Allami,Paul Harwood,Hans-Christoph Pape,Christian Krettek,Peter V. Giannoudis +6 more
TL;DR: Open pelvic fractures constitute one of the most devastating injuries in musculo-skeletal trauma and must be treated aggressively, incorporating a multidisciplinary approach, including early administration of broad-spectrum antibiotics.
Journal Article
[Pelvic fractures: epidemiology, therapy and long-term outcome. Overview of the multicenter study of the Pelvis Study Group]
Tim Pohlemann,H. Tscherne,F. Baumgärtel,H J Egbers,E. Euler,F Maurer,M. Fell,E Mayr,W. Quirini,W. Schlickewei,A. Weinberg +10 more
TL;DR: The German Pelvic Group started a prospective multicenter study, including ten major trauma centers for collecting a high number of data in a short period of time, and showed improved radiological results after unstable pelvic ring injuries when compared to earlier studies, the clinical result still remains unsatisfactory.
Journal ArticleDOI
Pelvic fractures in children.
TL;DR: Computed tomographic scanning should be used when segmental instability is suspected and when the posterior elements of the pelvis are difficult to examine by conventional radiographs, and the treatment of choice should be external fixation.