Pelvic bone fractures associated with intra-abdominal solid organ injury

Kwon, Hyo-Min; Kim, Sun Hyu; Hong, Jung-Seok; Choi, Wookjin; Ahn, Ryeok; Hong, Eun-Seog

doi:10.5505/tjtes.2014.72698

Cited by 6 publications

(1 citation statement)

References 23 publications

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“…Our study showed that the mass bleeding due to the spleen laceration attributed to the death soon without any timely treatment, which means for the CCI injuries, the injury management for the control of bleeding is necessary to reduce the deaths. Kwon et al [ 31 ] suggested that traumatic pelvic fracture patient prognosis needs to be improved through early diagnosis and prompt delivery of aggressive treatments based on rapid identification of abdominal solid organ injuries. However, previous pelvis trauma studies about bleeding control mostly focused on the injuries to the liver rather than the spleen, whereby numerous animal models were developed using pigs [ 32 – 39 ].…”

Section: Discussionmentioning

confidence: 99%

Experimental Study of Thoracoabdominal Injuries Suffered from Caudocephalad Impacts Using Pigs

Guan

Liao

Xiang

et al. 2018

Applied Bionics and Biomechanics

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To know the caudocephalad impact- (CCI-) induced injuries more clearly, 21 adult minipigs, randomly divided into three groups: control group (n = 3), group I (n = 9), and group II (n = 9), were used to perform the CCI experiments on a modified deceleration sled. Configured impact velocity was 0 m/s in the control group, 8 m/s in group I, and 11 m/s in group II. The kinematics and mechanical responses of the subjects were recorded and investigated. The functional change examination and the autopsies were carried out, with which the injuries were evaluated from the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS). The subjects in group I and group II experienced the caudocephalad loading at the peak pelvic accelerations of 108.92 ± 58.87 g and 139.13 g ± 78.54 g, with the peak abdomen pressures, 41.24 ± 16.89 kPa and 63.61 ± 65.83 kPa, respectively. The injuries of the spleen, lung, heart, and spine were detected frequently among the tested subjects. The maximal AIS (MAIS) of chest injuries was 4 in group I and 5 in group II, while both the MAIS of abdomen injuries in group I and group II were 5. The ISS in group II was 52.71 ± 6.13, significantly higher than in group I, 26.67 ± 5.02 (p < 0.05). The thoracoabdomen CCI injuries and the mechanical response addressed presently may be useful to conduct both the prevention studies against military or civilian injuries.

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Section: Discussionmentioning

confidence: 99%