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[Pelvic fracture. Diagnostics and current treatment options]
U Culemann1, G Tosounidis, H Reilmann
1Chirurgische Universitätsklinik, Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Hamburg/Saar. ulf_culemann@t-online.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 4, 2003
Summary
Pelvic fractures require prompt mechanical stabilization for survival. A classification system guides treatment, from external fixators for stable fractures to combined stabilization for severe disruptions.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Radiology
Background:
- Pelvic fractures, particularly with multiple trauma, pose life-threatening risks.
- Effective patient survival hinges on precise inclusion criteria and mechanical stabilization.
- Accurate classification is crucial for effective, problem-oriented management.
Purpose of the Study:
- To present a classification system for pelvic fractures.
- To define treatment indications based on fracture type.
- To outline management strategies for pelvic ring stabilization.
Main Methods:
- Utilizing conventional X-rays for emergency assessment.
- Employing computed tomography (CT) for detailed pre-operative planning.
- Classifying fractures into Type A (stable), Type B (rotational instability), and Type C (translational instability).
Main Results:
- Type A fractures: exceptional surgical intervention; Type B: anterior ring stabilization sufficient.
- Type C fractures: combined posterior and anterior stabilization essential.
- Standardized procedures and implants achieve high anatomical healing rates, even for Type C injuries.
Conclusions:
- The proposed classification provides clear indications for pelvic ring stabilization.
- Standardized approaches ensure successful anatomical healing.
- The impact of soft tissue injuries on long-term outcomes requires further investigation.