Hemorrhage Associated with Major Pelvic Fracture

Moreno, Christopher; Moore, Ernest E.; Rosenberger, Alan; Cleveland, Henry C.

doi:10.1097/00005373-198611000-00005

Cited by 224 publications

(105 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1][2][3][4][5] The high mortality is related to uncontrolled pelvic bleeding in more than 40% of the cases. 6 -8 Our recent review of the Liverpool Hospital's trauma registry revealed 37% mortality in this high-risk group.…”

mentioning

confidence: 99%

Institutional Practice Guidelines on Management of Pelvic Fracture-Related Hemodynamic Instability: Do They Make a Difference?

Balogh

Caldwell

Heetveld

et al. 2005

The Journal of Trauma: Injury, Infection, and Critical Care

140

106

View full text Add to dashboard Cite

mentioning

confidence: 99%

Institutional Practice Guidelines on Management of Pelvic Fracture-Related Hemodynamic Instability: Do They Make a Difference?

Balogh

Caldwell

Heetveld

et al. 2005

The Journal of Trauma: Injury, Infection, and Critical Care

140

106

View full text Add to dashboard Cite

“…The results are questionable as most of the studies focused on the more severe fracture patterns (VS, APCIII injuries) [3,19,20,26,37,[45][46][47]. However, at the same time other studies reported major pelvic bleeding secondary to less severe types of pelvic ring fractures [41-44, 48, 49].…”

Section: Discussionmentioning

confidence: 99%

Angiographic embolisation of pelvic ring injuries. Treatment algorithm and review of the literature

Karadimas

Nicolson

Kakagia

et al. 2011

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of this study was to evaluate the relation between pelvic fracture patterns and the angiographic findings, and to assess the effectiveness of the embolisation. Methods This retrospective study, included patients with pelvic fractures and angiographic evaluation. Demographics, Injury Severity Score (ISS), associated injuries, embolisation time, blood units needed, method of treatment and complications were recorded and analysed. Fractures were classified according to the Burgess system. Results Between 1998 and 2008, 34 patients with pelvic fractures underwent angiographic investigation. Twenty six were males. The mean age was 41 years. Twenty-seven were motor vehicle accidents and seven were falls. There were 11 anterior posterior (APC) fractures, 12 lateral compression (LC), eight vertical shear (VS) patterns and three with combined mechanical injuries. The median ISS was 33.1 (range 5-66). From the 34 who underwent angiography, 29 had positive vascular extravasations. From them, 21 had embolisation alone, two had vascular repair and embolisation, five required vascular repair alone and one patient died while being prepared for embolisation. Five cases were re-embolised. The findings suggested that AP fractures have a higher tendency to bleeding compared with LC fractures. Both had a higher chance of blood loss compared to VS and complex fracture patterns. We reported 57 additional injuries and 65 fractures. The complications were: one non lethal pulmonary embolism, one renal failure, one liver failure, one systemic infection, two deep infections and two psychological disorientations. Seven patients died in hospital. Conclusion Control of pelvic fracture bleeding is based on the multidisciplinary approach mainly related to hospital facilities and medical personnel's awareness. The morphology of the fracture did not have a predictive value of the vascular lesion and the respective bleeding.

show abstract

“…While pelvic external fixators are limited in use primarily to pelvic injuries with anterior instability, the C-clamp device provides stability to the posterior pelvic ring [4,9,12]. Initially introduced by Ganz et al [6] in 1991, this device is heralded for its ability to provide posterior stability and for its simplicity of use without interfering with subsequent laparotomies [2,3,5,7,10,11].…”

Section: Introductionmentioning

confidence: 99%

Case Report: The Prone Reduction of a Sacroiliac Disruption with a Pelvic C-clamp

Quintero

Tarkin

Pape

2008

Clin Orthop Relat Res

View full text Add to dashboard Cite

The pelvic C-clamp traditionally is reserved for the temporizing stabilization of posterior ring injuries and reportedly has assisted in closed reduction of sacroiliac diastases, for patients who are in the supine position. We report a patient with a severely displaced Zone II sacral fracture and associated acetabular fracture who initially underwent fixation of the acetabulum in the prone position.

show abstract

Hemorrhage Associated with Major Pelvic Fracture

Cited by 224 publications

References 0 publications

Institutional Practice Guidelines on Management of Pelvic Fracture-Related Hemodynamic Instability: Do They Make a Difference?

Institutional Practice Guidelines on Management of Pelvic Fracture-Related Hemodynamic Instability: Do They Make a Difference?

Angiographic embolisation of pelvic ring injuries. Treatment algorithm and review of the literature

Case Report: The Prone Reduction of a Sacroiliac Disruption with a Pelvic C-clamp

Contact Info

Product

Resources

About