Article
Critical Care Medicine
Joshua A. Parry, Wade R. Smith, Ernest E. Moore, Clay C. Cothren Burlew, Cyril Mauffrey
Summary: Pelvic ring injuries with hemorrhagic shock historically had a mortality rate greater than 30%. Through a multidisciplinary protocol prioritizing preperitoneal pelvic packing over angiography, deaths from hemorrhage have been reduced by 30%. However, many trauma centers do not routinely stabilize pelvic ring injuries or control pelvic hemorrhage, leading to high mortality rates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Health Care Sciences & Services
Yao-Tung Tsai, Yu-Ching Chou, Chia-Chun Wu, Tsu-Te Yeh
Summary: Experience shows that minimally invasive spinopelvic fixation can significantly shorten operative time, reduce blood loss, and improve treatment outcomes. The minimally invasive group had better cosmetic appearance and a lower complication rate.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Health Care Sciences & Services
Seong Chan Gong, Ji Eun Park, Sooyeon Kang, Sanghyun An, Myoung Jun Kim, Kwangmin Kim, In Sik Shin
Summary: This study compared the outcomes of preperitoneal pelvic packing (PPP) and angioembolization (AE) for patients with equivocal vital signs after initial resuscitation. The study included 65 patients with pelvic fractures. The results showed that AE may be beneficial in terms of reducing mechanical ventilation duration and incidence of infectious complications for hemodynamically unstable pelvic fracture patients with equivocal vital signs after initial fluid resuscitation.
Article
Orthopedics
Amit Davidson, Vasileios P. Giannoudis, Georgios Kotsarinis, Emmanuele Santolini, Constantinos Tingerides, Anish Koneru, Nikolaos K. Kanakaris, Peter V. Giannoudis
Summary: Radiographic measurements do not influence the delivery method of women after pelvic fracture fixation, suggesting that metal work removal may not be required prior to delivery. A significant number of women were able to have a vaginal delivery while retaining pelvic fixation devices, providing a foundation for further studies with larger cohorts.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Luis Navas, Natalie Mengis, Alexander Zimmerer, Jules-Nikolaus Rippke, Sebastian Schmidt, Alexander Brunner, Moritz Wagner, Andreas Hoech, Tina Histing, Steven C. Herath, Markus A. Kueper, Benjamin Ulmar
Summary: Pelvic fractures are often associated with spine injury, and concomitant spine injury can have an impact on the surgical outcome of pelvic fractures, especially on the quality of reduction of acetabular fractures.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Chunteng Theophile Nana, M. A. Ngo-Yamben, Pius Fokam, Ali Mahamat, F. M. Bombah, M. Ekani Boukar, Muluem Kenedy, A. Chichom-Mefire
Summary: Unstable pelvic fractures are severe and life-threatening injuries. Management of these fractures in limited resource communities is a major challenge. This study evaluated the functional outcome of unstable pelvic fractures managed in a hospital with limited diagnostic and therapeutic facilities. The study found that the lack of modernized diagnostic and therapeutic modalities in poor resource settings affected the functional outcome of unstable pelvic fractures.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Medicine, General & Internal
Moritz F. Lodde, J. Christoph Katthagen, Clemens O. Schopper, Ivan Zderic, Geoff Richards, Boyko Gueorguiev, Michael J. Raschke, Rene Hartensuer
Summary: Fixation with SI screw plus plate and SI screw plus retrograde transpubic screw provided higher stability compared to other techniques tested. S1/S2 ala-ilium screws were more stable than SI screws or SI screws plus external fixator.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Shuang Wu, Jialei Chen, Yun Yang, Wei Chen, Rong Luo, Yue Fang
Summary: The study evaluated the radiographic and clinical outcomes of anterior subcutaneous internal fixation (INFIX) with or without posterior fixation for unstable pelvic fractures. The results showed that both methods achieved satisfactory radiographic and functional outcomes. Operative time, intraoperative blood loss, and hospital stay duration were within acceptable ranges, with low incidence of sacral nerve injury and overall good patient outcomes during follow-up.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Orthopedics
Zhi-Hong Pan, Fan-Cheng Chen, Jun-Ming Huang, Cheng-Yi Sun, Sheng-Long Ding
Summary: This study compared the stability and clinical outcomes of MPSRF and INFIX for treating anterior pelvic ring fractures. Results showed that MPSRF provided better fixation stability and lower risk of implant failure compared to INFIX, leading to better clinical outcomes.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Critical Care Medicine
Roy S. Horowitz, Vladimir Goldman, Naum Simanovsky, Michael Zaidman
Summary: This study aimed to identify prognostic factors of pelvic fractures in pediatric patients and evaluate the safety of early total care. The results showed that the prognostic factors in pediatric patients with pelvic fractures parallel those of the adult population, and pediatric patients tend to have a higher survival rate regardless of the treatment strategy.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Sheng Zhang, Huagui Mo, Yucheng Liu, Guohua Zhu, Bin Yu
Summary: This study retrospectively reviewed 93 patients with anterior ring fixation failure for unstable pelvic fractures, with 5 patients undergoing revision surgery, achieving an excellent and good rate of 80% after follow-up. The study emphasizes the importance of internal fixation surgery within 2 weeks for complicated unstable pelvic fractures and avoiding a single steel plate crossing the pubic symphysis.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Medicine, General & Internal
Anna H. M. Mennen, Sharon Oud, Jens A. Halm, Rolf W. Peters, Hanna C. Willems, Daphne Van Embden
Summary: This study examined the clinical practices of orthopedic and trauma surgeons in the Netherlands regarding the imaging and surgical fixation of pelvic fractures in older adults. The results showed significant variation in practice patterns, which seemed to be influenced by the type of hospital the patients were presented to. It is suggested that a regional or national treatment protocol should be implemented to ensure a more uniform approach.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Critical Care Medicine
Yusuke Wakayama, Takayuki Higashi, Naomi Kobayashi, Hyonmin Choe, Masahiro Matsumoto, Takeru Abe, Ichiro Takeuchi, Yutaka Inaba
Summary: SAIS fixation reduces intraoperative blood loss and ensures bone healing without major complications, including dislocation of the fracture site. SAIS fixation may therefore be an alternative, minimally invasive method of treating unstable pelvic fractures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Kevin Steelman, Ryan Bray, Rahul Vaidya
Summary: Triangular osteosynthesis is an effective technique for stabilizing posterior pelvic ring injuries. This study presents an updated technique that allows for easy connection, distraction for complex lumbosacral displacements, and minimal soft tissue prominence. The results showed successful pelvic reduction without any complications or the need for reoperation.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Surgery
Myoung Jun Kim, Seung Hwan Lee, Ji Young Jang, Jae Gil Lee
Summary: The study aimed to analyze the effects of hemorrhage control methods on mortality in patients with hemodynamic instability due to pelvic fracture and identify independent risk factors. The results showed that the rapid and appropriate application of hemorrhage control methods can reduce acute hemorrhage-related mortality in these patients. Additionally, none of the hemorrhage control methods were superior in reducing mortality rate.
ASIAN JOURNAL OF SURGERY
(2023)