The Epidemiology of Pelvic Ring Fractures: A Population-Based Study

Balogh, Zsolt J.; King, Kate; Mackay, Peter; McDougall, Debra; Mackenzie, Stuart A.; Evans, Julie; Lyons, Timothy; Deane, S. A.

doi:10.1097/ta.0b013e3181589fa4

Cited by 216 publications

(224 citation statements)

References 32 publications

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“…Fractures of the pelvic ring are relatively uncommon, with a reported incidence of 2% to 8% of all fractures [5,10,34]. In multiple-trauma patients, however, the frequency of pelvic ring fractures rises dramatically, with an incidence of around 25% [19,34,37].…”

Section: Introductionmentioning

confidence: 99%

What are Predictors of Mortality in Patients with Pelvic Fractures?

Holstein

Culemann

Pohlemann

2012

Clinical Orthopaedics &Amp; Related Research

129

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Section: Introductionmentioning

confidence: 99%

What are Predictors of Mortality in Patients with Pelvic Fractures?

Holstein

Culemann

Pohlemann

2012

Clinical Orthopaedics &Amp; Related Research

129

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“…This injury reportedly is associated with an increase in mortality rates from 15% to 35%, when associated with multiple injuries [2,8,19,20]. The major sources of bleeding are assumed to be the presacral and retroperitoneal veins [30], sacral arterial disruptions [24], or cancellous bone surfaces [24].…”

Section: Introductionmentioning

confidence: 99%

Can a Modified Anterior External Fixator Provide Posterior Compression of AP Compression Type III Pelvic Injuries?

Sellei

Schandelmaier

Kobbe

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Current anterior fixators can close a disrupted anterior pelvic ring. However, these anterior constructs cannot create posterior compressive forces across the sacroiliac joint. We explored whether a modified fixator could create such forces. Questions/purposes We determined whether (1) an anterior external fixator with a second anterior articulation (X-frame) would provide posterior pelvic compression and (2) full pin insertion would deliver higher posterior compressive forces than half pin insertion. Methods We simulated AP compression Type III instability with plastic pelvis models and tested the following conditions: (1) single-pin supraacetabular external fixator (SAEF) using half pin insertion (60 mm); (2) SAEF using full pin insertion (120 mm); (3) modified fixator with X-frame using half pin insertion; (4) modified fixator using full pin insertion; and (5) C-clamp. Standardized fracture compression in the anterior and posterior compartment was performed as in previous studies by Gardner. A forcesensitive sensor was placed in the symphysis and posterior pelvic ring before fracture reduction and the fractures were reduced. The symphyseal and sacroiliac compression loads of each application were measured. Results The SAEF exerted mean compressions of 13 N and 14 N to the posterior pelvic ring using half and full pin insertions, respectively. The modified fixator had mean posterior compressions of 174 N and 222 N with half and full pin insertions, respectively. C-clamp application exerted a mean posterior load of 407 N. Conclusions Posterior compression on the pelvis was improved using an X-frame as an anterior fixation device in a synthetic pelvic fracture model. Clinical Relevance This additive device may improve the initial anterior and posterior stability in the acute management of unstable and life-threatening pelvic ring injuries.

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“…The severity of injury in patients with pelvic fractures ranges from minor trauma to debilitating morbidity and mortality. In fact, over 10 % of these patients may die before reaching the hospital [2,3]. These patients are more commonly men (60 %), with injury peaks in the young adult period (ages 15-30 years) and in elder adults (>55 years).…”

Section: Introductionmentioning

confidence: 99%

“…These patients are more commonly men (60 %), with injury peaks in the young adult period (ages 15-30 years) and in elder adults (>55 years). The older patient population tends to have a worse outcome despite relatively stable pelvic fracture patterns [1,2,4]. A subset of 8-10 % of patients with pelvic fractures require blood transfusions [5, 6••].…”

Section: Introductionmentioning

confidence: 99%

Preperitoneal Pelvic Packing: How and When

Glass

Burlew

2014

Curr Trauma Rep

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Pelvic fractures can lead to life-threatening hemorrhage, particularly as they tend to occur in the setting of polytrauma. Several approaches to hemorrhage control have been employed in pelvic fracture patients over the years. This review describes the indications, operative technique, and outcomes for preperitoneal pelvic packing (PPP). Pelvic packing should be considered for every hemodynamically unstable patient with a significant pelvic fracture. We describe how this can be accomplished in coordination with other resuscitative efforts and operative needs.

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The Epidemiology of Pelvic Ring Fractures: A Population-Based Study

Abstract: LE-PRF and HE-PRF are equally frequent among hospital admissions. They represent two distinct demographic groups with similar mortality rate. Most PRF-related deaths occur prehospitally. Bleeding remains the primary cause of PRF-related mortality in all groups.

Cited by 216 publications

References 32 publications

What are Predictors of Mortality in Patients with Pelvic Fractures?

What are Predictors of Mortality in Patients with Pelvic Fractures?

Can a Modified Anterior External Fixator Provide Posterior Compression of AP Compression Type III Pelvic Injuries?

Preperitoneal Pelvic Packing: How and When

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