Auditing 655 Fatalities with Pelvic Fractures by Autopsy as a Basis to Evaluate Trauma Care

Papadopoulos, Iordanis N.; Kanakaris, Nikolaos K.; Bonovas, Stefanos; Triantafillidis, Aristidis; Garnavos, Christos; Voros, Dionysios; Leukidis, Christos

doi:10.1016/j.jamcollsurg.2006.03.017

Cited by 83 publications

(38 citation statements)

References 34 publications

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“…They are lethal in 3% to 30% of cases and are associated with a high incidence of concomitant morbidity [3,13,15,21,27,48,52]. During the past decade, with enhanced understanding of the physiologic response to trauma and advances made in diagnostics, critical care medicine, and acute trauma management [5,23,26,57], an increased number (81%-90%) of injured patients with severe pelvic injuries survive [26,29,58].…”

Section: Introductionmentioning

confidence: 99%

Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

Kanakaris

Angoules

Nikolaou

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Although acute management of pelvic fractures and their long-term functional outcome have been widely documented, important information regarding malunion and nonunion of these fractures is sparse. Despite their relative rarity, malunions and nonunions cause disabling symptoms and have major socioeconomic implications. We analyzed the factors predisposing a pelvic injury to develop malunion/nonunion, the clinical presentation of these complications, and the efficacy of the reported operative protocols in 437 malunions/nonunions of 25 clinical studies. Treatment of these demanding complications appeared effective in the majority of the cases: overall union rates averaged 86.1%, pain relief as much as 93%, patient satisfaction 79%, and return to a preinjury level of activities 50%. Nevertheless, the patient should be informed about the incidence of perioperative complications, including neurologic injury (5

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Section: Introductionmentioning

confidence: 99%

Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

Kanakaris

Angoules

Nikolaou

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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“…The established causes of trauma deaths, determined solely by clinical findings, have been shown to be incorrect in up to 30% of cases [6,7]. Post mortem results may further delineate the actual cause of death in trauma patients.…”

Section: Introductionmentioning

confidence: 99%

Hemorrhage is More Prevalent than Brain Injury in Early Trauma Deaths: The Golden Six Hours

Bansal¹,

Fortlage²,

Lee³

et al. 2008

Eur J Trauma Emerg Surg

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“…Chest trauma, the most frequent injury in polytraumatized patients with an incidence of approximately 80% [27,46], has been evaluated extensively in clinical [5,7,8,15,47] and in vivo models in the form of controlled lung contusion [20,23,26,[48][49][50][51][52]54]. Investigators have examined the relationship of ARDS with femoral fracture stabilization and concluded the injury to the chest cavity was the primary predictor of the development of ARDS and not the timing of femoral fracture stabilization [6,12].…”

Section: Discussionmentioning

confidence: 99%